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DataCrafters synthetic data · demonstration

Staff surface Definitions and reviews

Definition library

Every executable definition, side-panel definition and catalogue entry, in three groups by the licence of its source, with its threshold in our own words and the source it is cited to. All are drafts pending review; a definition shows as reviewed only when both a clinical and a coding approval are recorded. Default set library_default_set@1.1.

Local criteria: site choices among published definitions and named local variants of the side-panel definitions, each with a change record, two approvals and an outcome preview.

Coder worklist

Setting: show extended capabilities on clinician screens

Current on clinician screens: Off (default) When on, findings from extended definitions appear on the side panel and the per-note screen under their own heading, after the core findings. Off or on, every check runs and replays the same, and the coder view shows both groups. The guided demo's four cases are unaffected.

CDI or coding staff can change this setting: switch the demo user.

Licence status

Thresholds are stated in our own words. Verbatim text is kept only from U.S. government works and openly licensed (CC BY) sources, with the attribution the licence asks for; copyrighted guidelines are cited by title, body and year, with a locator. No endorsement by the cited bodies is implied. This is not legal advice: counsel should review before commercial release.

Cancer-treatment adverse-event grading scale (NCI CTCAE): off by default

CTCAE grades describe adverse events in people receiving cancer treatment, usually in trials; they are not diagnostic criteria, and several grades depend on the laboratory reference range or on clinical descriptors that are not encoded. Using them outside that setting is a local decision for the clinical reviewer.

Current: Off (default) When on, grading entries are shown only as "another published definition gives …" or as values needing clinical judgement; they never raise a "not stated" item.

CDI or coding staff can change this setting. A clinician account records clinical reviews; a coding or documentation account records coding reviews: switch the demo user.

75 of 75 entries shown · open an entry for its source, threshold and review.

Diabetes diagnostic thresholds and the confirmation rule (ADA Standards of Care 2026) ada2026_diabetes@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Diabetes mellitus
Tier
1
Licence
U.S. government work
  • confirmation counting: two results, from different tests or one test repeated: fact only citation (ADA Standards of Care 2026, Table 2.1 (numbers and rule restated))
Source checked
opened on 2026-11-14: NIDDK page opened 2026-11-14 in the resourcing build: HbA1c 6.5% or above, fasting 126 mg/dL or above, 2-hour 200 mg/dL or above, random 200 mg/dL or above with symptoms; matches the categories.
Use here
default set (diabetes)
Edition
NIDDK page last reviewed July 2022 (same cut-offs as ADA Standards of Care 2026) (2022)
Second source
none opened · not found: The WHO diabetes fact sheet (dated 11 November 2026) states no numeric thresholds; the WHO 2006/2011 reports were not opened. No independent second source was opened.
Contested
no: ADA thresholds match long-standing WHO thresholds for A1C and FPG, but WHO's current text was not opened; the A1C criterion is less sensitive in some populations (ADA text).

Diabetes Tests & Diagnosis

ada2026_diabetes@1.0

In our words: Diabetes range: HbA1c 6.5% or higher, fasting glucose 126 mg/dL or higher, or 2-hour glucose 200 mg/dL or higher on a glucose tolerance test; two such results are needed (two different tests, or one test repeated). A random glucose of 200 mg/dL or higher counts on its own only with typical symptoms.

Usually, your doctor will use a second test to confirm you have diabetes.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (2022) · Section 'What test results tell me if I have diabetes or prediabetes?', table of test results · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026, American Diabetes Association Professional Practice Committee (2026), Tables 2.1 and 2.2 · link — earlier primary of this entry; numbers restated; text not reproduced (ADA: educational, non-commercial use; text and data mining need written permission)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypoglycaemia level (ADA Standards of Care 2026) ada2026_hypoglycaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypoglycaemia
Tier
1
Licence
U.S. government work
  • level 2 (below 54 mg/dL, 3.0 mmol/L), the mmol/L values and level 3: fact only citation (ADA Standards of Care 2026, Table 6.4 (numbers restated))
Source checked
opened on 2026-11-14: NIDDK page opened 2026-11-14 in the resourcing build: lower than 70 mg/dL; matches level 1. The page gives no number for level 2.
Use here
default set (hypoglycaemia)
Edition
NIDDK page last reviewed July 2021 (level 1); ADA Standards of Care 2026 (level 2) (2021)
Second source
International Hypoglycaemia Study Group 2017 · partly agrees: Agrees on level 2 (<3.0 mmol/L, <54 mg/dL) and on level 3 being clinical; disagrees on level 1 at exactly 70 mg/dL ('3.9 mmol/l (70 mg/dl) or less').
Contested
yes: The International Hypoglycaemia Study Group (2017) sets level 1 at an alert value of 70 mg/dL (3.9 mmol/L) or lower, so exactly 70 counts, i.e. it includes exactly 70 mg/dL; ADA 2026 uses '<70'. CTCAE uses other cut-offs.

Low Blood Glucose (Hypoglycemia)

ada2026_hypoglycaemia@1.0

In our words: Low glucose: below 70 mg/dL is level 1; below 54 mg/dL is level 2 (ADA's number, restated); level 3 is a severe event in which the person needs help, whatever the glucose.

a blood glucose reading lower than 70 milligrams per deciliter (mg/dL)

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (2021) · Section 'What is low blood glucose?' · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • 6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes—2026, American Diabetes Association Professional Practice Committee (2026), Table 6.4 · link — earlier primary of this entry; numbers restated; text not reproduced
  • Glucose concentrations of less than 3.0 mmol/l (54 mg/dl) should be reported in clinical trials, International Hypoglycaemia Study Group (2017) · link — numbers restated; text not reproduced

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Prediabetes ranges (ADA Standards of Care 2026) ada2026_prediabetes@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Prediabetes
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: NIDDK page opened 2026-11-14 in the resourcing build: HbA1c 5.7% to 6.4%, fasting 100 to 125 mg/dL, 2-hour 140 to 199 mg/dL; matches the categories.
Use here
default set (prediabetes)
Edition
NIDDK page last reviewed July 2022 (same ranges as ADA Standards of Care 2026) (2022)
Second source
none opened · not found: No independent second source was opened.
Contested
yes: Other bodies (for example WHO) are understood to use a different impaired fasting glucose range and not to use an A1C prediabetes range; those texts were not opened, so no other thresholds are recorded. Review item.

Diabetes Tests & Diagnosis

ada2026_prediabetes@1.0

In our words: Intermediate range: HbA1c 5.7% to 6.4%, fasting glucose 100 to 125 mg/dL, or 2-hour glucose 140 to 199 mg/dL.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (2022) · Section 'What test results tell me if I have diabetes or prediabetes?', table of test results · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026, American Diabetes Association Professional Practice Committee (2026), Tables 2.1 and 2.2 · link — earlier primary of this entry; numbers restated; text not reproduced (ADA: educational, non-commercial use; text and data mining need written permission)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Severe hypercholesterolaemia, LDL-C ≥190 mg/dL (2018 AHA/ACC cholesterol guideline) aha2018_severe_hypercholesterolaemia@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Severe hypercholesterolaemia
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Retired (licence_status 'retired'): copyrighted society guideline; same 190 mg/dL boundary as ATP III 'very high'.
Edition
2018 (2018)
Second source
National Heart, Lung, and Blood Institute, National Cholesterol Education Program (NIH Publication No. 01-3670) 2001 · agrees: ATP III calls ≥190 mg/dL 'very high'.
Contested
no: Same 190 mg/dL boundary as ATP III 'very high'.

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol

aha2018_severe_hypercholesterolaemia@1.0

In our words: LDL cholesterol 190 mg/dL (4.9 mmol/L) or higher in adults.

American Heart Association / American College of Cardiology and partner societies (2018) · Section 4.2 heading; Top 10 Take-Home Message 4 · source

retired: Retired as a separate primary: copyrighted society guideline. The same 190 mg/dL boundary is the 'very high' class of the federal ATP III classification (atp3_ldl@1.0). Making atp3_ldl the default for the LDL family also counts 130 to 189 mg/dL as present, which is a clinical decision; until then the LDL family has no default definition (default_set@1.1). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Low HDL cholesterol (NCEP ATP III, 2001) atp3_hdl@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Low HDL cholesterol
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Only a superseded edition (2001) is encoded and no current edition was opened; not run by default.
Edition
ATP III (May 2001) (2001) (a newer edition exists)
Second source
none opened · not found: No independent second source was opened.
Contested
yes: Sex-specific HDL thresholds are used in other ATP III criteria (metabolic syndrome) and by other bodies; not encoded.

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive Summary

atp3_hdl@1.0

In our words: HDL cholesterol below 40 mg/dL is low; 60 mg/dL or higher is high (adults 20 and over).

HDL Cholesterol <40 Low; ≥60 High

National Heart, Lung, and Blood Institute, National Cholesterol Education Program (NIH Publication No. 01-3670) (2001) · Table 2 (PDF page 13) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

LDL cholesterol classification (NCEP ATP III, 2001) atp3_ldl@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypercholesterolaemia (LDL)
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Federal (public-domain) LDL classification. Candidate replacement for the retired LDL primary; not run by default until a clinician decides whether 130 to 189 mg/dL should count as present (the file marks borderline high and high as present).
Edition
ATP III (May 2001) (2001) (a newer edition exists)
Second source
American Heart Association / American College of Cardiology and partner societies 2018 · partly agrees: The 2018 guideline agrees on the 190 mg/dL boundary and lists LDL-C 160-189 mg/dL as a risk-enhancing factor; it has no 'optimal'/'borderline' classes.
Contested
no: Classification of an older edition; the 2018 guideline uses LDL ≥190 mg/dL for severe hypercholesterolaemia, agreeing at that boundary.

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive Summary

atp3_ldl@1.0

In our words: LDL cholesterol (mg/dL, adults 20 and over): below 100 optimal; 100 to 129 near or above optimal; 130 to 159 borderline high; 160 to 189 high; 190 or higher very high.

LDL Cholesterol <100 Optimal; 100-129 Near optimal/above optimal; 130-159 Borderline high; 160-189 High; ≥190 Very high

National Heart, Lung, and Blood Institute, National Cholesterol Education Program (NIH Publication No. 01-3670) (2001) · Table 2 (PDF page 13) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • 2018 Guideline on the Management of Blood Cholesterol, AHA/ACC and partner societies (2018) · link — same 190 mg/dL boundary; numbers restated; text not reproduced

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Total cholesterol classification (NCEP ATP III, 2001) atp3_total_cholesterol@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypercholesterolaemia (total)
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Only a superseded edition (2001) is encoded and no current edition was opened; not run by default.
Edition
ATP III (May 2001) (2001) (a newer edition exists)
Second source
none opened · not found: No independent second source was opened.
Contested
no: Older edition; no current US classification of total cholesterol was opened.

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive Summary

atp3_total_cholesterol@1.0

In our words: Total cholesterol (mg/dL): below 200 desirable; 200 to 239 borderline high; 240 or higher high.

Total Cholesterol <200 Desirable; 200-239 Borderline high; ≥240 High

National Heart, Lung, and Blood Institute, National Cholesterol Education Program (NIH Publication No. 01-3670) (2001) · Table 2 (PDF page 13) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Triglyceride classification (NCEP ATP III, 2001) atp3_triglycerides@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertriglyceridaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Only a superseded edition (2001) is encoded and no current edition was opened; not run by default.
Edition
ATP III (May 2001) (2001) (a newer edition exists)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · partly agrees: Both start abnormal at 150 mg/dL; bands above differ.
Contested
yes: CTCAE grades triglycerides differently (500 mg/dL is CTCAE grade 2, ATP III very high); the 2018 guideline's moderate/severe hypertriglyceridaemia definitions were not found in the opened text.

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive Summary

atp3_triglycerides@1.0

In our words: Triglycerides (mg/dL): below 150 normal; 150 to 199 borderline high; 200 to 499 high; 500 or higher very high.

Normal triglycerides: <150 mg/dL; Borderline-high triglycerides: 150-199 mg/dL; High triglycerides: 200-499 mg/dL; Very high triglycerides: ≥500 mg/dL

National Heart, Lung, and Blood Institute, National Cholesterol Education Program (NIH Publication No. 01-3670) (2001) · Classification of serum triglycerides (PDF page 28) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

ARDS oxygenation severity by PaO2/FiO2 (Berlin Definition 2012, numeric part only) berlin2012_ards_pf@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Acute respiratory distress syndrome (oxygenation component)
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
alternative beside oxygenation: Superseded by the 2024 global definition; shown only as an alternative beside global2024_ards_intubated_pf.
Edition
Berlin Definition 2012 (2012) (a newer edition exists)
Second source
American Thoracic Society-led global consensus (Am J Respir Crit Care Med 2024;209(1):37-47) 2024 · agrees: Same PaO2/FiO2 bands for intubated patients; the global definition adds SpO2/FiO2 alternatives and a non-intubated category.
Contested
no: The bands are shared by the 2024 global definition for intubated patients.

Acute respiratory distress syndrome: the Berlin Definition

berlin2012_ards_pf@1.0

In our words: Oxygenation bands (PaO2/FiO2, mm Hg): above 200 up to 300 mild; above 100 up to 200 moderate; 100 or less severe. The bands alone never establish the full syndrome.

ARDS Definition Task Force (European Society of Intensive Care Medicine initiative, endorsed by ATS and SCCM) (2012) · Abstract (Europe PMC record of PMID:22797452) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Acute respiratory distress syndrome: the Berlin definition — review, Critical Care (2013) · link — open-licence restatement (CC BY per Europe PMC metadata only; not verified)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Adult BMI categories: underweight, healthy weight, overweight, obesity classes 1-3 (CDC) cdc_adult_bmi@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Obesity / overweight / underweight
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (bmi)
Edition
page dated March 19, 2024 (2024)
Second source
World Health Organization 2026 · agrees: WHO agrees on 25 and 30 for adults; WHO applies them from age 18, CDC from age 20; the WHO fact sheet does not give classes or underweight.
Contested
yes: BMI cut-offs are population-specific (WHO 2004 expert consultation proposed lower action points for Asian populations; not opened) and BMI does not measure adiposity directly; the CDC page applies the categories 'regardless of age, sex, or race' for adults.

Adult BMI Categories

cdc_adult_bmi@1.0

In our words: Adult body-mass index: under 18.5 underweight; 18.5 to under 25 healthy; 25 to under 30 overweight; 30 to under 35 obesity class 1; 35 to under 40 class 2; 40 or higher class 3.

Underweight: Less than 18.5; Healthy Weight: 18.5 to less than 25; Overweight: 25 to less than 30; Obesity: 30 or greater; Class 1 Obesity: 30 to less than 35; Class 2 Obesity: 35 to less than 40; Class 3 Obesity (Severe Obesity): 40 or greater

Centers for Disease Control and Prevention (2024) · Adult BMI categories table · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • Obesity and overweight (fact sheet), World Health Organization (2026) · link — same 25 and 30 cut-offs; WHO publications are CC BY-NC-SA 3.0 IGO; text not reproduced

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Lymphocyte count decreased, grade (CTCAE v5.0) ctcae5_lymphopenia@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Lymphopenia
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default
Edition
v5.0 (2017) (a newer edition exists)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

ctcae5_lymphopenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 800/mm3; <LLN - 0.8 x 10e9/L. Grade 2: <800 - 500/mm3; <0.8 - 0.5 x 10e9 /L. Grade 3: <500 - 200/mm3; <0.5 - 0.2 x 10e9 /L. Grade 4: <200/mm3; <0.2 x 10e9 /L

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2017) · PDF page 88 (5x7 quick reference), term 'Lymphocyte count decreased' (published November 27, 2017) · source

retired: Retired: CTCAE v5.0 is superseded by v6.0 and was never run. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Neutrophil count decreased, grade (CTCAE v5.0) ctcae5_neutropenia@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Neutropenia
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default
Edition
v5.0 (2017) (a newer edition exists)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · disagrees: CTCAE v6.0 (same body, not independent) shifted the bands (grade 4 <100/mm3). No independent body grades neutropenia on this scale.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

ctcae5_neutropenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 1500/mm3; <LLN - 1.5 x 10e9 /L. Grade 2: <1500 - 1000/mm3; <1.5 - 1.0 x 10e9 /L. Grade 3: <1000 - 500/mm3; <1.0 - 0.5 x 10e9 /L. Grade 4: <500/mm3; <0.5 x 10e9 /L

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2017) · PDF page 88 (5x7 quick reference), term 'Neutrophil count decreased' (published November 27, 2017) · source

retired: Retired: CTCAE v5.0 is superseded by v6.0 and was never run. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Platelet count decreased, grade (CTCAE v5.0) ctcae5_thrombocytopenia@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Thrombocytopenia
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default
Edition
v5.0 (2017) (a newer edition exists)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · disagrees: CTCAE v6.0 (same body, not independent) moved the grade 3/4 boundary to 10,000/mm3.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

ctcae5_thrombocytopenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 75,000/mm3; <LLN - 75.0 x 10e9 /L. Grade 2: <75,000 - 50,000/mm3; <75.0 - 50.0 x 10e9 /L. Grade 3: <50,000 - 25,000/mm3; <50.0 - 25.0 x 10e9 /L. Grade 4: <25,000/mm3; <25.0 x 10e9 /L

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2017) · PDF page 89 (5x7 quick reference), term 'Platelet count decreased' (published November 27, 2017) · source

retired: Retired: CTCAE v5.0 is superseded by v6.0 and was never run. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Acidosis grade by blood pH (CTCAE v6.0) ctcae6_acidosis@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Acidaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_acidosis@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 3 (pH <7.3); Grade 1 (pH below normal but ≥7.3); At or above the laboratory lower limit

Grade 1: pH <normal, but >=7.3. Grade 2: -. Grade 3: pH <7.3. Grade 4: Life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 174, term 'Acidosis' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Alkalosis grade by blood pH (CTCAE v6.0) ctcae6_alkalosis@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Alkalaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_alkalosis@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 3 (pH >7.5); Grade 1 (pH above normal but ≤7.5); At or below the laboratory upper limit

Grade 1: pH >normal, but <=7.5. Grade 2: -. Grade 3: pH >7.5. Grade 4: Life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 174, term 'Alkalosis' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Anaemia grade by haemoglobin (CTCAE v6.0) ctcae6_anaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Anaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
World Health Organization 2024 · disagrees: WHO 2024 defines anaemia with fixed population-specific cut-offs (for example <130 g/L men, <120 g/L non-pregnant women) and mild/moderate/severe bands; CTCAE uses the laboratory LLN and its own grades. Encoded separately as who2024_anaemia. CTCAE v5.0 (same body) has identical thresholds.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_anaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: Hemoglobin (Hgb) <LLN - 10.0 g/dL; <LLN - 6.2 mmol/L; <LLN - 100 g/L. Grade 2: Hgb <10.0 - 8.0 g/dL; <6.2 - 4.9 mmol/L; <100 - 80 g/L. Grade 3: Hgb <8.0 g/dL; <4.9 mmol/L; <80 g/L; transfusion indicated

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 4, term 'Anemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Blood bilirubin increased, grade, baseline normal (CTCAE v6.0) ctcae6_hyperbilirubinaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyperbilirubinaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hyperbilirubinaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4; Grade 3; Grade 2; Grade 1; At or below the laboratory ULN

>ULN - 1.5 x ULN if baseline was normal or less than normal (grade 1); >1.5 - 3.0 x ULN (grade 2); >3.0 - 10.0 x ULN (grade 3); >10.0 x ULN if baseline was normal or less than normal (grade 4)

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 164, term 'Blood bilirubin increased' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypercalcaemia grade by corrected serum calcium (CTCAE v6.0) ctcae6_hypercalcaemia_corrected@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypercalcaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypercalcaemia_corrected@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or below the laboratory ULN

Corrected serum calcium of >ULN - 11.5 mg/dL; >ULN - 2.9 mmol/L; Ionized calcium >ULN - 1.5 mmol/L (grade 1) ... >11.5 - 12.5 mg/dL; >2.9 - 3.1 mmol/L; Ionized calcium >1.5 - 1.6 mmol/L (grade 2) ... >12.5 - 13.5 mg/dL; >3.1 - 3.4 mmol/L; Ionized calcium >1.6 - 1.8 mmol/L (grade 3) ... >13.5 mg/dL; >3.4 mmol/L; Ionized calcium >1.8 mmol/L (grade 4)

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 176, term 'Hypercalcemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypercalcaemia grade by ionised calcium (CTCAE v6.0) ctcae6_hypercalcaemia_ionised@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypercalcaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypercalcaemia_ionised@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or below the laboratory ULN

Corrected serum calcium of >ULN - 11.5 mg/dL; >ULN - 2.9 mmol/L; Ionized calcium >ULN - 1.5 mmol/L (grade 1) ... >11.5 - 12.5 mg/dL; >2.9 - 3.1 mmol/L; Ionized calcium >1.5 - 1.6 mmol/L (grade 2) ... >12.5 - 13.5 mg/dL; >3.1 - 3.4 mmol/L; Ionized calcium >1.6 - 1.8 mmol/L (grade 3) ... >13.5 mg/dL; >3.4 mmol/L; Ionized calcium >1.8 mmol/L (grade 4)

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 176, term 'Hypercalcemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyperkalaemia grade by serum potassium (CTCAE v6.0) ctcae6_hyperkalaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyperkalaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
UK Kidney Association 2026 · disagrees: UKKA bands (mild 5.5-5.9, moderate 6.0-6.4, severe ≥6.5) do not line up with CTCAE grades (>5.5-6.0, >6.0-7.0, >7.0); a value of exactly 5.5 is CTCAE grade 1 but UKKA mild. Encoded separately as ukka2026_hyperkalaemia. CTCAE v5.0 has identical thresholds.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hyperkalaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or below the laboratory ULN

Grade 1: >ULN - 5.5 mmol/L. Grade 2: >5.5 - 6.0 mmol/L; intervention initiated. Grade 3: >6.0 - 7.0 mmol/L; hospitalization indicated. Grade 4: >7.0 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 177, term 'Hyperkalemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypermagnesaemia grade by serum magnesium (CTCAE v6.0) ctcae6_hypermagnesaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypermagnesaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypermagnesaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 1 (by laboratory value); At or below the laboratory ULN

Grade 1: >ULN - 3.0 mg/dL; >ULN - 1.23 mmol/L. Grade 2: -. Grade 3: >3.0 - 8.0 mg/dL; >1.23 - 3.30 mmol/L. Grade 4: >8.0 mg/dL; >3.30 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 177, term 'Hypermagnesemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypernatraemia grade by serum sodium (CTCAE v6.0) ctcae6_hypernatraemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypernatraemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypernatraemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or below the laboratory ULN

Grade 1: >ULN - 150 mmol/L. Grade 2: >150 - 155 mmol/L; intervention initiated. Grade 3: >155 - 160 mmol/L; hospitalization indicated. Grade 4: >160 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 177, term 'Hypernatremia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypertriglyceridaemia grade (CTCAE v6.0) ctcae6_hypertriglyceridaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertriglyceridaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
National Heart, Lung, and Blood Institute (NIH Publication No. 01-3670) 2001 · partly agrees: Both start abnormal at 150 mg/dL and both use 500 mg/dL as a boundary, but ATP III puts 500 in 'very high' while CTCAE puts 500 in grade 2 (>300-500). Encoded separately as atp3_triglycerides.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypertriglyceridaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4; Grade 3; Grade 2; Grade 1; Below 150 mg/dL (no grade)

Grade 1: 150 mg/dL - 300 mg/dL; 1.71 mmol/L - 3.42 mmol/L. Grade 2: >300 mg/dL - 500 mg/dL; >3.42 mmol/L - 5.7 mmol/L. Grade 3: >500 mg/dL - 1000 mg/dL; >5.7 mmol/L - 11.4 mmol/L. Grade 4: >1000 mg/dL; >11.4 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 178, term 'Hypertriglyceridemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypoalbuminaemia grade by serum albumin (CTCAE v6.0) ctcae6_hypoalbuminaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypoalbuminaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypoalbuminaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 3 g/dL; <LLN - 30 g/L. Grade 2: <3 - 2 g/dL; <30 - 20 g/L. Grade 3: <2 g/dL; <20 g/L. Grade 4: Life-threatening consequences; urgent intervention indicated

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 179, term 'Hypoalbuminemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypocalcaemia grade by corrected serum calcium (CTCAE v6.0) ctcae6_hypocalcaemia_corrected@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypocalcaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypocalcaemia_corrected@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Corrected serum calcium of <LLN - 8.0 mg/dL; <LLN - 2.0 mmol/L; Ionized calcium <LLN - 1.0 mmol/L (grade 1) ... <8.0 - 7.0 mg/dL; <2.0 - 1.75 mmol/L; Ionized calcium <1.0 - 0.9 mmol/L (grade 2) ... <7.0 - 6.0 mg/dL; <1.75 - 1.5 mmol/L; Ionized calcium <0.9 - 0.8 mmol/L (grade 3) ... <6.0 mg/dL; <1.5 mmol/L; Ionized calcium <0.8 mmol/L (grade 4)

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 179, term 'Hypocalcemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypocalcaemia grade by ionised calcium (CTCAE v6.0) ctcae6_hypocalcaemia_ionised@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypocalcaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypocalcaemia_ionised@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Corrected serum calcium of <LLN - 8.0 mg/dL; <LLN - 2.0 mmol/L; Ionized calcium <LLN - 1.0 mmol/L (grade 1) ... <8.0 - 7.0 mg/dL; <2.0 - 1.75 mmol/L; Ionized calcium <1.0 - 0.9 mmol/L (grade 2) ... <7.0 - 6.0 mg/dL; <1.75 - 1.5 mmol/L; Ionized calcium <0.9 - 0.8 mmol/L (grade 3) ... <6.0 mg/dL; <1.5 mmol/L; Ionized calcium <0.8 mmol/L (grade 4)

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 179, term 'Hypocalcemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypoglycaemia grade by glucose (CTCAE v6.0) ctcae6_hypoglycaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypoglycaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
American Diabetes Association Professional Practice Committee 2026 · disagrees: ADA levels (level 1 <70 and ≥54 mg/dL, level 2 <54 mg/dL) differ from CTCAE grades (grade 2 begins below 55 mg/dL). Encoded separately as ada2026_hypoglycaemia.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypoglycaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 55 mg/dL; <LLN - 3.0 mmol/L. Grade 2: <55 - 40 mg/dL; <3.0 - 2.2 mmol/L. Grade 3: <40 - 30 mg/dL; <2.2 - 1.7 mmol/L. Grade 4: <30 mg/dL; <1.7 mmol/L; life-threatening consequences; seizures

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 179, term 'Hypoglycemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypokalaemia grade by serum potassium (CTCAE v6.0) ctcae6_hypokalaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypokalaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypokalaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (<LLN to 3.0 mmol/L, symptomatic or intervention indicated); Grade 1 (<LLN to 3.0 mmol/L, asymptomatic, no intervention indicated); At or above the laboratory LLN

Grade 1: <LLN - 3.0 mmol/L. Grade 2: Symptomatic with <LLN - 3.0 mmol/L; intervention indicated. Grade 3: <3.0 - 2.5 mmol/L; hospitalization indicated. Grade 4: <2.5 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 180, term 'Hypokalemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypomagnesaemia grade by serum magnesium (CTCAE v6.0) ctcae6_hypomagnesaemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypomagnesaemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypomagnesaemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 1.2 mg/dL; <LLN - 0.5 mmol/L. Grade 2: <1.2 - 0.9 mg/dL; <0.5 - 0.4 mmol/L. Grade 3: <0.9 - 0.7 mg/dL; <0.4 - 0.3 mmol/L. Grade 4: <0.7 mg/dL; <0.3 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 180, term 'Hypomagnesemia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyponatraemia grade by serum sodium (CTCAE v6.0) ctcae6_hyponatraemia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyponatraemia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
European Society of Intensive Care Medicine, European Society of Endocrinology and European Renal Association – European Dialysis and Transplant Association (ERBP) 2014 · partly agrees: The ESE/ESICM/ERA-EDTA guideline fixes the threshold at <135 mmol/L; CTCAE uses the laboratory LLN (often 135). Their severity bands were not opened (encoded separately as ese2014_hyponatraemia, presence only). CTCAE v5.0 prints the same numbers as '125-129' and '120-124'.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hyponatraemia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (120 to <125 mmol/L regardless of symptoms, or 125 to <130 mmol/L and symptomatic); Grade 2 (125 to <130 mmol/L and asymptomatic); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 130 mmol/L. Grade 2: 125 - <130 mmol/L and asymptomatic. Grade 3: 125 - <130 mmol/L symptomatic; 120 - <125 mmol/L regardless of symptoms. Grade 4: <120 mmol/L; life-threatening consequences

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 180, term 'Hyponatremia' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

INR increased, grade, not on anticoagulation (CTCAE v6.0) ctcae6_inr_increased@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Elevated INR
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_inr_increased@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 3; Grade 2; Grade 1; 1.2 or below (no grade)

Grade 1: >1.2 - 1.5; >1 - 1.5 x baseline if on anticoagulation; monitoring only indicated. Grade 2: >1.5 - 2.5; >1.5 - 2.5 x baseline if on anticoagulation. Grade 3: >2.5; >2.5 x baseline if on anticoagulation; bleeding

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 169, term 'INR increased' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

White blood cell decreased, grade (CTCAE v6.0) ctcae6_leukopenia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Leukopenia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
none opened · not found: No independent body publishes these grades: CTCAE is the sole definer of its own grading scale. CTCAE v5.0 (same body, not independent) was compared and gives the same numeric thresholds for this term.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_leukopenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 3000/mm3; <LLN - 3.0 x 10^9/L. Grade 2: <3000 - 2000/mm3; <3.0 - 2.0 x 10^9/L. Grade 3: <2000 - 1000/mm3; <2.0 - 1.0 x 10^9/L. Grade 4: <1000/mm3; <1.0 x 10^9/L

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 173, term 'White blood cell decreased' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Neutrophil count decreased, grade (CTCAE v6.0) ctcae6_neutropenia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Neutropenia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2017 · disagrees: CTCAE v5.0 (same body, not independent) used different bands: grade 1 from the LLN to 1500/mm3 and grade 4 below 500/mm3. v6.0 moved every grade down one band. Encoded separately as ctcae5_neutropenia. No independent body grades neutropenia on this scale.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_neutropenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4; Grade 3; Grade 2; Grade 1; 1500/mm3 or above (no CTCAE v6.0 grade)

Grade 1: <1500 - 1000/mm3; <1.5 - 1.0 x 10^9/L. Grade 2: <1000 - 500/mm3; <1.0 - 0.5 x 10^9/L. Grade 3: <500 - 100/mm3; <0.5 - 0.1 x 10^9/L. Grade 4: <100/mm3; <0.1 x 10^9/L

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 170, term 'Neutrophil count decreased' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Platelet count decreased, grade (CTCAE v6.0) ctcae6_thrombocytopenia@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Thrombocytopenia
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
optional setting (off by default)
Edition
v6.0 (2025)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2017 · disagrees: CTCAE v5.0 (same body, not independent): grade 3 down to 25,000/mm3 and grade 4 below 25,000/mm3; v6.0 moved the grade 3/4 boundary to 10,000/mm3. Encoded separately as ctcae5_thrombocytopenia.
Contested
no: Grading scale of a single body; not a diagnostic definition. Other bodies define this condition with different numbers (see second source where one was opened).

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_thrombocytopenia@1.0

In our words: Cancer-treatment adverse-event grade, not a diagnosis. Grade 4 (by laboratory value); Grade 3 (by laboratory value); Grade 2 (by laboratory value); Grade 1 (by laboratory value); At or above the laboratory LLN

Grade 1: <LLN - 75,000/mm3; <LLN - 75.0 x 10^9/L. Grade 2: <75,000 - 50,000/mm3; <75.0 - 50.0 x 10^9/L. Grade 3: <50,000 - 10,000/mm3; <50.0 - 10.0 x 10^9/L; transfusion indicated. Grade 4: <10,000/mm3; <10.0 x 10^9/L; life-threatening consequences; urgent intervention indicated

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 8, term 'Platelet count decreased' (published July 22, 2025) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Vitamin D deficiency and insufficiency by 25(OH)D (Endocrine Society 2011) es2011_vitamin_d@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Vitamin D deficiency
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Retired (licence_status 'retired'): copyrighted, misprint and gap in the printed ranges; the 2024 edition declined to set a target.
Edition
2011 (2011) (a newer edition exists)
Second source
Institute of Medicine committee (J Clin Endocrinol Metab 2011;96:53-58) 2011 · disagrees: IOM treats 20 ng/mL as sufficient for 97.5% of the population, so 20-29 ng/mL is not 'insufficient' by IOM; encoded separately as iom2011_vitamin_d.
Contested
yes: Thresholds disagree between bodies: the IOM (2011) found 20 ng/mL (50 nmol/L) covers the needs of 97.5% of the population and warned that inadequacy was overestimated; the Endocrine Society 2011 called <20 deficiency and 21-29 insufficiency; the Endocrine Society 2024 declined to set a target level.

Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline

es2011_vitamin_d@1.0

In our words: 25(OH)D below 20 ng/mL called deficient and 21 to 29 ng/mL insufficient (contested).

Endocrine Society (2011) · Recommendation 1.2 · source

retired: Retired: copyrighted; the printed ranges contain a misprint and a gap; the society's 2024 edition declined to set a target level. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Office blood pressure categories: non-elevated, elevated, hypertension (ESC 2024) esc2024_office_bp@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertension
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
alternative beside blood_pressure: Disagrees with the primary (nhlbi_bp_categories: 130/80 vs 140/90); shown only as 'another published definition gives'.
Edition
2024 (2024)
Second source
National Heart, Lung, and Blood Institute 2025 · disagrees: US categories start hypertension at 130/80; ESC at 140/90. The ESH 2023 guideline could not be opened (HTTP 402).
Contested
yes: Differs from AHA/ACC (hypertension from 130/80; elevated defined by systolic 120-129 only).

2024 ESC Guidelines for the management of elevated blood pressure and hypertension

esc2024_office_bp@1.0

In our words: Office blood pressure (adults, mm Hg): 140/90 or higher is hypertension; systolic 120 to 139 or diastolic 70 to 89 is elevated; below 120/70 is not elevated.

European Society of Cardiology (2024) · Section 5.1, Table 5 (office BP) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • High Blood Pressure: Diagnosis, National Heart, Lung, and Blood Institute (2025) · link — federal primary for blood pressure in this product (nhlbi_bp_categories); differs at 130/80

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyponatraemia, presence only (ESE/ESICM/ERA-EDTA 2014) ese2014_hyponatraemia@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyponatraemia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (sodium)
Edition
2014 (2014) (currency not confirmed)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · partly agrees: CTCAE starts at the laboratory LLN, which is often but not always 135 mmol/L.
Contested
no: The <135 mmol/L definition is widely shared; CTCAE uses the laboratory LLN instead.

Clinical practice guideline on diagnosis and treatment of hyponatraemia

ese2014_hyponatraemia@1.0

In our words: Serum sodium below 135 mmol/L is low.

European Society of Intensive Care Medicine, European Society of Endocrinology and European Renal Association – European Dialysis and Transplant Association (ERBP) (2014) · Abstract · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Laboratory reference interval, the reporting laboratory — no federal or openly licensed source for 135 mmol/L was opened; the laboratory's own range is the recommended alternative

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

ARDS oxygenation severity in intubated patients by PaO2/FiO2 with PEEP ≥5 (New Global Definition 2024, numeric part only) global2024_ards_intubated_pf@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Acute respiratory distress syndrome (oxygenation component)
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (oxygenation)
Edition
New Global Definition 2024 (2024)
Second source
ARDS Definition Task Force 2012 · agrees: Same bands (the Berlin abstract does not state the PEEP requirement).
Contested
no: Bands unchanged from Berlin for intubated patients.

A New Global Definition of Acute Respiratory Distress Syndrome

global2024_ards_intubated_pf@1.0

In our words: On invasive ventilation with PEEP of at least 5 cm H2O (PaO2:FiO2, mm Hg): above 200 up to 300 mild; above 100 up to 200 moderate; 100 or less severe.

American Thoracic Society-led global consensus (Am J Respir Crit Care Med 2024;209(1):37-47) (2024) · Table 1 'Diagnostic Criteria for the New Global Definition of ARDS', intubated ARDS and footnote ¶ · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Acute respiratory distress syndrome: the Berlin definition, ARDS Definition Task Force (2012) — same bands

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

COPD airflow obstruction grade by post-bronchodilator spirometry (GOLD 2026) gold2026_copd_airflow@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Chronic obstructive pulmonary disease (spirometric grade)
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (copd_airflow)
Edition
2026 report (2026)
Second source
none opened · not found: No independent second source (e.g. ATS/ERS) was opened.
Contested
yes: The fixed ratio 0.7 is contested against the lower limit of normal (z-score) approach used by ATS/ERS interpretation standards (not opened); the fixed ratio over-diagnoses in older and under-diagnoses in younger adults.

Global Strategy for Prevention, Diagnosis and Management of COPD: 2026 Report — Pocket Guide

gold2026_copd_airflow@1.0

In our words: When FEV1/FVC after a bronchodilator is below 0.7: FEV1 80% of predicted or more is grade 1; 50 to under 80% grade 2; 30 to under 50% grade 3; under 30% grade 4. A ratio of 0.7 or more shows no obstruction by this fixed ratio.

Global Initiative for Chronic Obstructive Lung Disease (GOLD) (2026) · Figure 2.10 (PDF page 20); key points (PDF page 11) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • VA/DoD Clinical Practice Guideline for the Management of COPD, VA and DoD (2026) · link — federal; recommends post-bronchodilator spirometry but its summary gives no numeric ratio

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Serum 25(OH)D reference levels for bone health (Institute of Medicine 2011) iom2011_vitamin_d@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Vitamin D status
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: The source explicitly declined to define deficiency; not run by default.
Edition
2011 dietary reference intakes (2011) (currency not confirmed)
Second source
Endocrine Society 2011 · partly agrees: Both use 20 ng/mL (50 nmol/L) as a boundary; the Endocrine Society calls 21-29 ng/mL insufficient, which the IOM does not.
Contested
yes: See es2011_vitamin_d: bodies disagree; the IOM explicitly declined to set a deficiency cut-point.

The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know

iom2011_vitamin_d@1.0

In our words: Serum 25(OH)D: below 16 ng/mL (40 nmol/L) is under the level that meets about half the population's needs; 16 to under 20 ng/mL is under the level that meets nearly everyone's needs; 20 to 50 ng/mL meets nearly everyone's needs; above 50 ng/mL (125 nmol/L) may carry a risk of harm.

Institute of Medicine committee (J Clin Endocrinol Metab 2011;96:53-58, doi:10.1210/jc.2010-2704) (2011) · Section 'Serum 25OHD Levels and Screening' · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Vitamin D fact sheet for health professionals, NIH Office of Dietary Supplements · link — federal restatement; not verified (HTTP 403 on 2026-11-14)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Adult blood pressure categories: normal, elevated, stage 1, stage 2 (NHLBI, as in the 2017/2025 ACC/AHA guidelines) nhlbi_bp_categories@1.0 1 U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertension
Tier
1
Licence
U.S. government work
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (blood_pressure)
Edition
page last updated June 26, 2025 (2025)
Second source
Nephrology Dialysis Transplantation (open-access commentary) 2026 · partly agrees: Confirms the hypertension threshold (130/80) only; the stage table itself was not in the opened commentary.
Contested
yes: European guidelines define hypertension at 140/90 (ESC 2024, encoded separately as esc2024_office_bp) while AHA/ACC use 130/80.

High Blood Pressure — Diagnosis

nhlbi_bp_categories@1.0

In our words: Adult blood pressure (mm Hg): normal below 120/80; elevated 120 to 129 systolic with diastolic below 80; stage 1 130 to 139 or 80 to 89; stage 2 140 or higher or 90 or higher; crisis range above 180 or above 120. Diagnosis needs readings at two or more separate visits.

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) (2025) · Blood pressure categories table · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • 2025 AHA/ACC high blood pressure guideline, AHA/ACC and partner societies (2025) — not opened (HTTP 403); numbers taken from the NHLBI page
  • 2024 ESC Guidelines for the management of elevated blood pressure and hypertension, European Society of Cardiology (2024) · link — differs (140/90); encoded separately as esc2024_office_bp

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Serum lactate above the Sepsis-3 septic-shock threshold (numeric component only) sepsis3_septic_shock_lactate@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Septic shock (lactate component)
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (lactate)
Edition
Sepsis-3 (2016) (2016)
Second source
none opened · not found: No independent second source was opened for this threshold.
Contested
no: The CMS SEP-1 measure and the Surviving Sepsis Campaign use lactate thresholds for other purposes (for example ≥4 mmol/L); those documents were not opened for this entry.

The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)

sepsis3_septic_shock_lactate@1.0

In our words: A lactate above 2 mmol/L (18 mg/dL) is the lactate part of the septic-shock criteria; it never establishes septic shock on its own.

Society of Critical Care Medicine and European Society of Intensive Care Medicine task force (JAMA 2016;315:801-810) (2016) · Box 3 'New Terms and Definitions' · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Hospital Toolkit for Adult Sepsis Surveillance, Centers for Disease Control and Prevention (2018), Adult Sepsis Event, optional lactate criterion · link — federal, surveillance only: lactate 2.0 mmol/L or more (not above 2); not merged with this entry; opened by the resourcing review, not re-opened in this build

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Heart failure category by LVEF: HFrEF, HFmrEF, HFpEF, HFimpEF (Universal Definition 2021) uhf2021_hf_ef_category@1.0 1 Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Heart failure (EF category)
Tier
1
Licence
Open licence (CC BY)
Source checked
opened on 2026-11-14: PMC9254673 opened 2026-11-14 in the resourcing build: reduced 40% or lower, mildly reduced 41% to 49%, preserved 50% or higher, improved = baseline 40% or lower, rise of 10 points or more, second above 40%; matches the categories. CC BY 4.0 licence line read on the page.
Use here
default set (heart_failure_ef)
Edition
2021 universal definition (as restated in 2022) (2021) (a newer edition exists)
Second source
none opened · not found: The co-published Eur J Heart Fail 2021;23:352-380 abstract (PMID:33605000) states the same cut-offs but is the same document, not an independent source. The 2022 AHA/ACC/HFSA guideline abstract does not state them; its full text was not opened.
Contested
no: The same cut-offs appear in the co-published Eur J Heart Fail and J Card Fail versions; some guidelines describe HFmrEF differently in wording only (not opened).

Clinical implications of the universal definition for the prevention and treatment of heart failure

uhf2021_hf_ef_category@1.0

In our words: Reduced ejection fraction: 40% or lower. Mildly reduced: 41% to 49%. Preserved: 50% or higher. Improved: an earlier ejection fraction of 40% or lower, a later one above 40%, and a rise of at least 10 points. Applies only once heart failure is diagnosed (2021 edition).

HFrEF, LVEF ≤ 40%; HF with mildly reduced ejection fraction (HFmrEF), LVEF of 41%–to 49%; ... HFpEF, LVEF ≥ 50%; and HF with improved ejection fraction (HFimpEF): baseline LVEF ≤ 40% with ≥10‐pt increase from baseline and second LVEF > 40%.

Chandramouli C, Stewart S, Almahmeed W, Lam CSP (Clin Cardiol 2022;45(Suppl 1):S2-S12, doi:10.1002/clc.23842) (2022) · Section 1.3 'New universal definition' (LVEF classification; Figure 2) · source

open licence: CC BY 4.0, attribution: Chandramouli C, Stewart S, Almahmeed W, Lam CSP. Clinical implications of the universal definition for the prevention and treatment of heart failure. Clin Cardiol 2022;45(Suppl 1):S2-S12, doi:10.1002/clc.23842. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). No endorsement by the cited bodies is implied.

See also:
  • Universal Definition and Classification of Heart Failure, HFSA, HFA-ESC and JHFS (J Card Fail 2021;27:387-413; Eur J Heart Fail 2021;23:352-380) (2021), Abstract · link — earlier primary of this entry; numbers restated; text not reproduced
  • Second Universal Definition of Heart Failure, AHA/ACC/ESC/WHF (Eur Heart J 2026;47:4357-74) (2026) — not opened; reported (secondary summary) to drop fixed cut-offs between reduced and preserved EF
  • Accelerating heart failure research, National Heart, Lung, and Blood Institute (2022) · link — federal cross-check; uses below 40% (not 40% or lower) for reduced EF; not used for the bands
  • ICD-10-CM FY2027 tabular list (I50.2-, I50.3-), CDC/NCHS (2026), I50.2-, I50.3- · link — coding terms: reduced EF under systolic HF, preserved EF under diastolic HF; no index entry for mildly reduced or improved EF

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyperkalaemia and its severity (UK Kidney Association, July 2026 update) ukka2026_hyperkalaemia@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyperkalaemia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (potassium)
Edition
updated July 2026 (2026)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · disagrees: CTCAE uses different bands; the UKKA text states its 5.5 mmol/L threshold comes from the European Resuscitation Council guideline, which was not opened.
Contested
yes: The guideline itself says that no definition of hyperkalaemia is universally accepted; it adopts the ERC threshold of 5.5 mmol/L. CTCAE grades differ (see ctcae6_hyperkalaemia).

Clinical Practice Guidelines: Treatment of Acute Hyperkalaemia in Adults

ukka2026_hyperkalaemia@1.0

In our words: Serum potassium (adults): 5.5 to 5.9 mmol/L mild; 6.0 to 6.4 moderate; 6.5 or higher severe.

UK Kidney Association (2026) · Introduction, document page 9 (PDF page 10) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Laboratory reference interval, the reporting laboratory — no federal potassium definition was opened; the laboratory's own range is the recommended alternative

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Osteoporosis and osteopenia by BMD T-score (WHO 1994) who1994_osteoporosis@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Osteoporosis / osteopenia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (bone_density)
Edition
WHO Technical Report Series 843 (1994) (1994) (currency not confirmed)
Second source
none opened · not found: ISCD official positions and national guidelines that restate the categories were not opened.
Contested
yes: T-score categories were defined for postmenopausal (white) women; their use in men and other populations relies on later bodies (e.g. ISCD), which were not opened; the report itself calls cut-off values 'somewhat arbitrary'.

Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: report of a WHO Study Group (WHO Technical Report Series 843)

who1994_osteoporosis@1.0

In our words: Bone density T-score (postmenopausal women): -1 or higher normal; between -1 and -2.5 low bone mass; -2.5 or lower osteoporosis; below -2.5 with a fragility fracture severe osteoporosis.

World Health Organization (1994) · Section 2.1 Definitions, printed pages 5-6 (PDF pages 11-12) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • NIH restatement of the T-score categories, National Institutes of Health — not verified (pages returned 403 or did not resolve)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Iron deficiency by serum ferritin (WHO 2020) who2020_iron_deficiency_ferritin@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Iron deficiency
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (ferritin)
Edition
2020 (2020)
Second source
none opened · not found: No independent source with the same cut-offs was opened.
Contested
yes: Ferritin cut-offs for iron deficiency vary widely between bodies and studies (the guideline's own review cites thresholds from <12 to <30 µg/L in pregnancy); WHO's are low (high specificity). Other bodies (e.g. gastroenterology guidance) use higher values; those texts were not opened.

WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations

who2020_iron_deficiency_ferritin@1.0

In our words: Ferritin suggesting iron deficiency: below 15 µg/L at 5 years and older (healthy) and in first-trimester pregnancy; below 12 µg/L under 5 years (healthy); below 30 µg/L under 5 with infection or inflammation; below 70 µg/L at 5 and older with infection or inflammation.

World Health Organization (2020) · Executive summary, recommendations 1.1-1.2 (PDF page 11) and Table 1 (PDF page 12) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Anaemia and its severity by haemoglobin (WHO 2024) who2024_anaemia@1.0 1 Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Anaemia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
default set (haemoglobin)
Edition
2024 (2024)
Second source
National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) 2025 · partly agrees: CTCAE v6.0 also uses 80 g/L as a severity boundary (grade 3 <80 g/L, WHO severe <80 g/L for adults) but defines the start of anaemia by the laboratory LLN, not fixed WHO cut-offs. No independent source repeating the WHO 2024 table was opened.
Contested
yes: Cut-offs are 5th percentiles of mostly higher-income populations (WHO's own remark); the men's 130 g/L cut-off and severity percentages were debated by the guideline group; CTCAE and laboratory reference ranges use other limits; older adults (>65) are not covered.

Guideline on haemoglobin cutoffs to define anaemia in individuals and populations

who2024_anaemia@1.0

In our words: Haemoglobin, adults 15 to 65, adjusted for altitude and smoking: anaemia below 130 g/L in men and below 120 g/L in non-pregnant women; moderate below 110 g/L; severe below 80 g/L. Pregnancy by trimester and children have their own cut-offs.

World Health Organization (2024) · Executive summary: Table 2 (PDF page 12), Table 3 (PDF page 13), Table 4 (PDF page 14), Table 5 (PDF page 15) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Anemia: Diagnosis, National Heart, Lung, and Blood Institute (2025) — federal page gives normal ranges only (men 14 to 17 g/dL, women 12 to 15 g/dL), not anaemia cut-offs
  • Laboratory reference interval, the reporting laboratory — shown beside the WHO cut-offs where the laboratory sends one

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Adult overweight and obesity by BMI (WHO fact sheet) who_adult_bmi@1.0 1 Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Obesity / overweight
Tier
1
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
not run by default: Retired (licence_status 'retired'): duplicates cdc_adult_bmi at 25 and 30; WHO non-commercial licence.
Edition
fact sheet dated 7 October 2026 (2026)
Second source
Centers for Disease Control and Prevention 2024 · agrees: Same cut-offs; CDC applies them from age 20.
Contested
yes: As for cdc_adult_bmi: population-specific cut-offs and the limits of BMI as a measure of adiposity.

Obesity and overweight (fact sheet)

who_adult_bmi@1.0

In our words: Adult body-mass index 25 or more is overweight; 30 or more is obesity.

World Health Organization (2026) · Definitions for adults · source

retired: Retired: duplicates the federal CDC categories at 25 and 30 (cdc_adult_bmi@1.0); WHO publications carry a non-commercial licence. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Heart failure acuity: indicators in the record (evidence only; acuity is a clinical judgement) front_hf_acuity_indicators@1.0 evidence_only Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Heart failure
Tier
evidence_only
Licence
Open licence (CC BY)
To confirm
  • To confirm with a clinician: the one-week weight comparison (a weight 5 to 9 days before the latest) and the 14-day window for documented symptoms are local conventions.
Source checked
opened on 2026-11-14: Opened the editorial: decompensated heart failure is described as needing escalated care or rescue therapy; it gives no natriuretic peptide cut-off, so none is shown.
Use here
evidence only (not executed)
Edition
2026

The second universal definition of heart failure (2026). What's new?

front_hf_acuity_indicators@1.0

In our words: Acuity (acute, chronic, acute on chronic) is a clinical judgement. Documented symptoms, natriuretic peptide results, weights and intravenous diuretic orders are shown for review; no threshold is applied and no acuity is concluded.

Biegus J, Ponikowski P (ESC Heart Failure) (2026) · section on decompensated heart failure · source

open licence: CC BY 4.0, attribution: Biegus J, Ponikowski P. The second universal definition of heart failure (2026). What's new? ESC Heart Fail 2026;13(5):xvag240. doi:10.1093/eschf/xvag240. Licensed under the Creative Commons Attribution licence. No endorsement by the cited bodies is implied.

See also:
  • Second universal definition of heart failure, Walsh MN et al. (Eur Heart J) (2026) — consensus document, not opened; licence not checked

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Heart failure type by ejection fraction (four categories, 2021 universal definition as restated in 2022) front_hf_ef_type@1.0 judgement Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Heart failure
Tier
judgement
Licence
Open licence (CC BY)
To confirm
  • To confirm with a clinician: the boundary wording at exactly 40%. This file reads reduced as 40% or lower (the openly licensed source); the federal cross-check says below 40%. A reported 40% is shown as reduced.
  • To confirm with a clinician: the improved-category baseline rule. The baseline is the first earlier ejection fraction of 40% or lower on file and the comparison value is the latest; another reading (lowest earlier value, or the value just before the latest) can give a different answer.
  • To confirm with a clinician: whether the 2021 categories should stay the shown edition now that a 2026 edition reportedly drops fixed cut-offs between reduced and preserved.
Source checked
opened on 2026-11-14: Opened the article page (section 1.3, New universal definition). Each threshold checked against the page: 40% or lower; 41% to 49%; 50% or higher; improved = baseline 40% or lower, a rise of at least 10 points and a second value above 40%. All four match this file's thresholds and boundary tests.
Use here
front condition (side panel options)
Edition
2022
Why not executable
The 2021 categories are shown as the 2021 edition. A 2026 second universal definition reportedly drops fixed cut-offs between reduced and preserved ejection fraction while keeping the improved category (summary of an openly licensed editorial; the consensus document itself was not opened). Clinical decision needed before release. A federal cross-check (NHLBI, 2022) describes reduced ejection fraction as below 40%, not 40% or lower: the boundary at exactly 40% differs between sources.

Clinical implications of the universal definition for the prevention and treatment of heart failure

front_hf_ef_type@1.0

In our words: Reduced ejection fraction: 40% or lower. Mildly reduced: 41% to 49%. Preserved: 50% or higher. Improved: an earlier ejection fraction of 40% or lower, a later one above 40%, and a rise of at least 10 points. (2021 edition, as restated in an openly licensed 2022 paper.)

HFrEF, LVEF ≤ 40%

Chandramouli C, Stewart S, Almahmeed W, Lam CSP (Clinical Cardiology) (2022) · Section 1.3 'New universal definition' (classification by left ventricular ejection fraction) · source

open licence: CC BY 4.0, attribution: Chandramouli C, Stewart S, Almahmeed W, Lam CSP. Clinical implications of the universal definition for the prevention and treatment of heart failure. Clin Cardiol 2022;45(Suppl 1):S2-S12. doi:10.1002/clc.23842. Licensed under CC BY 4.0. No endorsement by the cited bodies is implied.

See also:
  • Universal definition and classification of heart failure, Bozkurt B et al. (J Card Fail / Eur J Heart Fail) (2021), classification by ejection fraction — society consensus (no open licence seen); numbers restated; text not reproduced
  • Second universal definition of heart failure, Walsh MN et al. (Eur Heart J) (2026) — newer edition, not opened; reportedly drops fixed cut-offs between reduced and preserved; numbers not used
  • Accelerating heart failure research, National Heart, Lung, and Blood Institute (2022), description of reduced ejection fraction · link — federal cross-check only; describes reduced ejection fraction as below 40% (boundary at exactly 40% differs)
  • ICD-10-CM FY2027 tabular list and index, CDC National Center for Health Statistics (2026), I50.2-, I50.3- · link — coder reference only; no index entry for mildly reduced or improved ejection fraction

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Kidney disease stage wording by filtering rate, with the albumin-to-creatinine category (options for the clinician) front_kidney_stage_wording@1.0 measurement U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Chronic kidney disease
Tier
measurement
Licence
U.S. government work
  • filtering-rate stage bands (90, 60, 45, 30, 15) and the G3a/G3b split: fact only citation (KDIGO 2024 CKD guideline, Chapter 1 (cited by title; not opened in this build))
  • albumin-to-creatinine categories (A1 below 30, A2 30-299, A3 300 mg/g or above): fact only citation (KDIGO 2024 CKD guideline, Chapter 1 (cited by title; not opened in this build))
  • 2021 creatinine equation: public domain (NIDDK, Estimating Glomerular Filtration Rate: Adults (last reviewed May 2025; opened))
To confirm
  • To confirm with a clinician: three months is encoded as 90 days (the VA/DoD summary says 3 months or more).
Source checked
opened on 2026-11-14: Opened the VA/DoD provider summary (Sidebar 6, PDF page 16): eGFR below 60 for 3 months or more, and albumin-to-creatinine ratio 30 mg/g or higher on two measurements 3 months or more apart; both match. Opened the NIDDK page: the 2021 equation and its coefficients match the kidney rule. The stage bands and albumin categories (KDIGO) were not opened in this build.
Use here
front condition (side panel options)
Edition
2025

VA/DoD Clinical Practice Guideline for the Primary Care Management of Chronic Kidney Disease, Provider Summary (Version 5.0)

front_kidney_stage_wording@1.0

In our words: Kidney disease by filtering rate: below 60 on results at least 3 months apart; or urine albumin-to-creatinine ratio 30 mg/g or higher on two tests at least 3 months apart. Stage by filtering rate: G1 90 or above; G2 60-89; G3a 45-59; G3b 30-44; G4 15-29; G5 below 15 (G1 and G2 also need a marker of kidney damage). Albumin-to-creatinine category: A1 below 30, A2 30-299, A3 300 mg/g or above. The filtering rate is estimated with the 2021 race-free creatinine equation.

Decreased eGFR <60 mL/min/1.73 m2 (GFR categories G3a-G5) for ≥3 months

Department of Veterans Affairs and Department of Defense (2025) · Sidebar 6 'Criteria for CKD' (PDF page 16; printed page 13 of 37). Do not use Sidebar 9 (a reproduced third-party figure) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease, KDIGO (Kidney International) (2024), Chapter 1 — fact-only citation for the stage bands and albumin categories (CC BY-NC-ND per index metadata); numbers restated; text not reproduced
  • Estimating Glomerular Filtration Rate: Adults, National Institute of Diabetes and Digestive and Kidney Diseases (2025), 2021 CKD-EPI creatinine equation · link — U.S. government work; the equation used by the kidney check
  • ICD-10-CM Official Guidelines for Coding and Reporting FY2027, CMS and NCHS (2026), Section I.C.14.a.1 — coder reference only

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Adult malnutrition: global consensus criteria (alternative definition; shown in the details, not executed) front_malnutrition_global_consensus@1.0 alternative Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Malnutrition
Tier
alternative
Licence
Open licence (CC BY)
To confirm
  • To confirm with a clinician and the dietitian lead: whether this definition is shown at all to VA users, who were trained on the US consensus characteristics; it is shown only in the library and, with extended capabilities on, as another published definition in the card's details.
Source checked
opened on 2026-11-14: Opened Tables 3 and 4: weight loss over 5% within 6 months or over 10% beyond; intake 50% or less of requirement for over a week or any reduction for over 2 weeks; severe stage over 10% within 6 months or over 20% beyond, body-mass index below 18.5 under 70 or below 20 at 70 and over. All match the paraphrase.
Use here
alternative definition (shown, not executed)
Edition
2019

GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community

front_malnutrition_global_consensus@1.0

In our words: Global consensus: at least one physical finding (weight loss over 5% in 6 months or over 10% over a longer period; low body-mass index; reduced muscle mass) and one cause (eating half or less of needs for over a week, or less than usual for over 2 weeks, or a condition affecting absorption; inflammation). Severe: weight loss over 10% in 6 months or over 20% over a longer period, or a body-mass index below 18.5 under age 70 or below 20 at 70 and over.

Cederholm T et al. (Journal of Cachexia, Sarcopenia and Muscle) (2019) · Tables 3 and 4 · source

open licence: CC BY 4.0, attribution: Cederholm T et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle 2019;10(1):207-217. doi:10.1002/jcsm.12383. Licensed under CC BY 4.0. No endorsement by the cited bodies is implied.

See also:
  • GLIM criteria for the diagnosis of malnutrition, Cederholm T et al. (Clin Nutr; JPEN) (2019) — original publications; no open licence seen; not quoted

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Adult malnutrition severity from a dietitian's nutrition assessment (US consensus characteristics, 2012) front_malnutrition_us_consensus@1.0 judgement Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Malnutrition
Tier
judgement
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
To confirm
  • To confirm with a clinician (dietitian reviewer): the social or environmental circumstances levels were entered from memory, not from an opened copy of the consensus.
  • To confirm with a clinician (dietitian reviewer): the chronic-illness severe intake level. This file has severe as 75% of need or less for 1 month or more and moderate as below 75% for 1 month or more, which differ only at exactly 75%.
  • To confirm with a clinician: the weight-window tolerance of plus or minus 25% of each period (a local convention for choosing the reference weight).
  • To confirm with a clinician: grip strength is read as reduced or not reduced; the consensus grades it against norms.
Source checked
not opened: The consensus statement is copyrighted and was not opened in this build; the thresholds were carried from the earlier rule file (rules/malnutrition.yaml) and from the team's entry, some from memory (see the items to confirm). Verify each row against a licensed copy before release.
Use here
front condition (side panel options)
Edition
2012

Consensus statement: characteristics recommended for the identification and documentation of adult malnutrition

front_malnutrition_us_consensus@1.0

In our words: Applies only when the record holds a dietitian's nutrition assessment. Six characteristics: energy intake, weight loss, fat loss, muscle loss, fluid accumulation and grip strength; at least two are required. Severe: two or more at the severe level. Moderate (non-severe): two or more at the moderate level or worse. The levels depend on the context the dietitian documents (acute illness or injury, chronic illness, or social or environmental circumstances). Example, acute illness, severe: intake at or below half of need for 5 days or more; weight loss over 2% in a week, over 5% in a month or over 7.5% in 3 months. Albumin and prealbumin are not criteria.

Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition (White JV et al., J Acad Nutr Diet 2012;112:730-738) (2012) · table of clinical characteristics (cite by title; do not reproduce the table or its layout) · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • VHA Directive 1438, Clinical Nutrition Management and Food and Nutrition Services, Veterans Health Administration (2022), definitions — federal context: defines malnutrition in words only; sets no thresholds
  • GLIM criteria for the diagnosis of malnutrition, Cederholm T et al. (J Cachexia Sarcopenia Muscle) (2019), Tables 3 and 4 · link — openly licensed alternative definition (front_malnutrition_global_consensus@1.0)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

eGFR, CKD-EPI 2021 creatinine equation (race-free) ckd_epi_2021@1.0 measured Kidney rule: re-sourcing pending Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Kidney function
Tier
measured
Licence
Kidney rule: re-sourcing pending
Source checked
not opened: re-sourcing pending
Use here
kidney check (side panel and per-note screen)
Edition
Inker et al., N Engl J Med 2021;385:1737-49 (2021 race-free eGFR equation)
Why not executable
primary equation for every eGFR on the screen

Inker LA, Eneanya ND, Coresh J, et al. New creatinine- and cystatin C-based equations to estimate GFR without race. N Engl J Med 2021;385:1737-49. Equation as restated by the National Kidney Foundation (CKD-EPI Creatinine Equation, 2021).

ckd_epi_2021@1.0

In our words: primary equation for every eGFR on the screen

· Inker et al., N Engl J Med 2021;385:1737-49 (2021 race-free eGFR equation) · source

cited as in the rule file; the permissive (U.S. government) sources for the same numbers are recorded in the catalogue entry kdigo_aki_ckd and arrive with the rule's next version. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

GFR and albuminuria categories, and the 3-month persistence rule kdigo_ckd_2024@1.1 measured Kidney rule: re-sourcing pending Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Kidney function
Tier
measured
Licence
Kidney rule: re-sourcing pending
Source checked
not opened: re-sourcing pending
Use here
kidney check (side panel and per-note screen)
Edition
KDIGO 2024 CKD guideline (G/A categories, more than 3 months)
Why not executable
persistence phenotype and G/A category

Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int 2024;105(4S):S117-S314. Definition: abnormality of kidney structure or function present for more than 3 months; GFR categories G1-G5; albuminuria categories A1-A3.

kdigo_ckd_2024@1.1

In our words: persistence phenotype and G/A category

· KDIGO 2024 guideline, Kidney Int 2024;105(4S):S117-S314 (G/A categories, >3 months) · source

cited as in the rule file; the permissive (U.S. government) sources for the same numbers are recorded in the catalogue entry kdigo_aki_ckd and arrive with the rule's next version. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Creatinine-change criteria and staging, with four selectable baselines kdigo_aki_2012@1.1 measured Kidney rule: re-sourcing pending Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Kidney function
Tier
measured
Licence
Kidney rule: re-sourcing pending
Source checked
not opened: re-sourcing pending
Use here
kidney check (side panel and per-note screen)
Edition
KDIGO 2012 AKI guideline, Rec 2.1.1-2.1.2 and Table 2
Why not executable
creatinine-change criteria; baseline is a user toggle

Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Int Suppl 2012;2:1-138. Recommendations 2.1.1-2.1.2 and Table 2 (staging). KDIGO does not define the baseline; the four baselines below are common choices in the literature and are shown side by side.

kdigo_aki_2012@1.1

In our words: creatinine-change criteria; baseline is a user toggle

· KDIGO 2012 guideline, Kidney Int Suppl 2012;2:1-138 (Rec 2.1.1-2.1.2, Table 2) · source

cited as in the rule file; the permissive (U.S. government) sources for the same numbers are recorded in the catalogue entry kdigo_aki_ckd and arrive with the rule's next version. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Acute respiratory failure acute_respiratory_failure catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Acute respiratory failure
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: no authoritative numeric definition of acute respiratory failure was opened, so no blood-gas threshold is recorded. The diagnosis also rests on work of breathing and clinical context.

Source not opened

acute_respiratory_failure

In our words: No measurement-only definition is stored; oxygenation bands are in the two ARDS entries.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyperosmolar hyperglycaemic state ada2024_hhs catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
HHS
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2024
Why not executable
Part of the 2024 hyperglycaemic crises consensus (see ada2024_hyperglycaemic_crises): the diagnostic figure was not readable in the opened text. The text requires all four components and defines HHS as without acidosis (pH 7.3 or higher and bicarbonate 18 mmol/L or higher). Not executable until the figure is opened.

Hyperglycemic Crises in Adults With Diabetes: A Consensus Report

ada2024_hhs

In our words: Hyperosmolar state: no acidosis (pH 7.3 or higher and bicarbonate 18 mmol/L or higher); glucose and osmolality cut-offs not verified.

ADA, EASD, JBDS, AACE and DTS (Diabetes Care 2024;47:1257-1275) (2024) · Section 4 · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state (ADA/EASD/JBDS/AACE/DTS consensus 2024) ada2024_hyperglycaemic_crises catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
DKA / HHS
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2024
Why not executable
The diagnostic criteria are in the consensus report's Figure 2, which was not readable in the opened text; the severity table (Table 2) does not require every variable and includes mental status, and its bicarbonate bands overlap at 15 mmol/L (mild 15–18, moderate 10 to <15). Not executable until Figure 2 is opened and the overlaps are resolved by a clinician.

Hyperglycemic Crises in Adults With Diabetes: A Consensus Report

ada2024_hyperglycaemic_crises

In our words: Severity: β-hydroxybutyrate 3.0 to 6.0 mmol/L mild or moderate, above 6.0 severe; pH above 7.25 to below 7.30 mild, 7.0 to 7.25 moderate, below 7.0 severe; bicarbonate 15 to 18 mild, 10 to below 15 moderate, below 10 mmol/L severe.

ADA, EASD, JBDS, AACE and DTS (Diabetes Care 2024;47:1257-1275, doi:10.2337/dci24-0032) (2024) · Table 2 'DKA classification and suggested level of care by severity' · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

2025 AHA/ACC blood pressure categories table (guideline text itself) aha2025_bp_table catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertension
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: the guideline (Hypertension 2025;82:e212-e316; Circulation 2025;152:e114-e218) and the AHA patient page refused automated access (HTTP 403). The same categories are executable from the NHLBI page (nhlbi_bp_categories), with the 130/80 threshold confirmed by an open-access commentary.

Source not opened

aha2025_bp_table

In our words: Same categories as the federal NHLBI page (see nhlbi_bp_categories); nothing stored from the guideline.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Malnutrition characteristics used in US hospitals (Academy/ASPEN 2012 consensus) aspen_academy2012_malnutrition catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Malnutrition
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: Not opened in this build; numbers carried from apps/exactdx/rules/malnutrition.yaml (encoded there from the Academy's table, verified_on 2026-11-14). Keep out of any default set until reviewed.
Use here
catalogue (not executable)
Edition
2012
Why not executable
Source not opened in this build, and no permissive source exists: the consensus is copyrighted. Severity needs at least two of six characteristics in an acute-illness or chronic-illness context, and fat loss, muscle loss, fluid and grip strength are examination findings. Numbers are carried, in our own words, from apps/exactdx/rules/malnutrition.yaml; the table and its layout are not reproduced.

Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition

aspen_academy2012_malnutrition

In our words: Severe malnutrition, acute illness: at least two of intake at or below half of need for 5 days or more; weight loss over 2% in a week, over 5% in a month or over 7.5% in 3 months; moderate fat or muscle loss; moderate to severe fluid; reduced grip.

White JV, Guenter P, Jensen G, Malone A, Schofield M (J Acad Nutr Diet 2012;112:730-738; JPEN 2012, doi:10.1177/0148607112440285) (2012) · Table of clinical characteristics

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • GLIM criteria for the diagnosis of malnutrition, GLIM (J Cachexia Sarcopenia Muscle 2019) (2019) · link — open-licence alternative (glim2019_malnutrition)
  • VHA Directive 1438(1), Clinical Nutrition Management, Veterans Health Administration (2022) — federal; defines malnutrition in words only, no thresholds
  • CMS986 Malnutrition Care Score, CMS / Academy of Nutrition and Dietetics (2026) — copyrighted quality measure; context only

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Thyroid stimulating hormone increased (CTCAE v5.0) and thyroid dysfunction by TSH ctcae5_tsh_increased catalogue Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Thyroid dysfunction
Tier
2
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2017
Why not executable
TSH thresholds depend on the laboratory reference range, age and pregnancy, and hypothyroidism/hyperthyroidism also need free T4/T3 and clinical context. CTCAE v5.0 grades only 'TSH increased and no intervention initiated' (grade 1) and sends anything treated to 'Hypothyroidism'. Without the laboratory range and free hormone levels the answer would be 'not assessable', so no executable entry is offered. No guideline with fixed TSH cut-offs was opened.

Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

ctcae5_tsh_increased

In our words: Adverse-event grade by management, not by value; nothing executable.

TSH increased and no intervention initiated

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2017) · PDF page 89 (5x7 quick reference), term 'Thyroid stimulating hormone increased' (published November 27, 2017) · source

retired: Retired with the CTCAE entries: an adverse-event grading scale for cancer treatment, not a diagnostic definition. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypophosphataemia grade (CTCAE v6.0) ctcae6_hypophosphataemia catalogue Retired Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypophosphataemia
Tier
2
Licence
Retired
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2025
Why not executable
CTCAE v6.0 grades hypophosphataemia by management, not by value: grade 1 'Laboratory finding only and intervention not indicated', grade 2 'Oral replacement therapy indicated', grade 3 hospitalisation, grade 4 life-threatening. No numeric threshold to execute. No other numeric definition was opened.

Common Terminology Criteria for Adverse Events (CTCAE) v6.0 (MedDRA 28.0)

ctcae6_hypophosphataemia

In our words: Adverse-event grade by management, not by value; nothing executable.

Grade 1: Laboratory finding only and intervention not indicated. Grade 2: Oral replacement therapy indicated

National Cancer Institute, Cancer Therapy Evaluation Program (U.S. Department of Health and Human Services) (2025) · PDF page 181, term 'Hypophosphatemia' (published July 22, 2025) · source

retired: Retired with the CTCAE entries: an adverse-event grading scale for cancer treatment, not a diagnostic definition. No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Encephalopathy (metabolic, toxic, septic) encephalopathy catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Encephalopathy
Tier
3
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Encephalopathy is diagnosed clinically (altered mental status with a cause); no measurement-based definition from an authoritative body was opened. Source not opened.

Source not opened

encephalopathy

In our words: Diagnosed clinically; no measurement-only definition is stored.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hyponatraemia severity and timing (ESE/ESICM/ERA-EDTA 2014) ese2014_hyponatraemia_severity catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hyponatraemia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: the guideline's severity bands (mild, moderate, profound) and acute/chronic classification are in the full text, which could not be opened (publisher pages refused or returned server errors; not open access in Europe PMC). Only the <135 mmol/L definition from the abstract is executable (ese2014_hyponatraemia).

Source not opened

ese2014_hyponatraemia_severity

In our words: Severity bands not opened; only the below-135 mmol/L definition is executable.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypertension grades 1-3 (ESH 2023) esh2023_bp_grades catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypertension
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: the 2023 ESH guideline (J Hypertens 2023;41:1874) returned HTTP 402 (payment required). Not encoded; ESC 2024 office categories are executable as esc2024_office_bp.

Source not opened

esh2023_bp_grades

In our words: Not opened (payment required); nothing stored.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Myocardial infarction (Fourth Universal Definition, 2018) fourth_udmi2018_myocardial_infarction catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Myocardial infarction
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
2018
Why not executable
Source not opened: only the citation record was found (no abstract or full text readable on 2026-11-14). Myocardial infarction definitions combine biomarker results with clinical evidence of ischaemia, which numbers alone cannot decide; no threshold is recorded here.

Fourth Universal Definition of Myocardial Infarction (2018)

fourth_udmi2018_myocardial_infarction

In our words: Combines biomarker results with clinical evidence; no threshold stored.

ESC/ACC/AHA/WHF joint task force (J Am Coll Cardiol 2018;72:2231-2264) (2018) · citation record only (Europe PMC, PMID:30153967); full text not opened · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Malnutrition (GLIM criteria) glim2019_malnutrition catalogue Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Malnutrition
Tier
2
Licence
Open licence (CC BY)
Source checked
opened on 2026-11-14: PMC6438340 opened 2026-11-14 in the resourcing build: Table 3, Table 4 and section 3.8 read; CC BY 4.0 licence line read. The intake criterion is at or below 50% (the earlier entry said 50%).
Use here
catalogue (not executable)
Edition
2019
Why not executable
Diagnosis needs at least one phenotypic and one etiologic criterion. Reduced muscle mass needs a validated body-composition method or examination, and the etiologic criteria (reduced intake or assimilation, inflammation from acute or chronic disease) are clinical judgements. GLIM also requires prior risk screening. Numbers alone cannot decide it.

GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community

glim2019_malnutrition

In our words: GLIM: at least one physical finding (weight loss over 5% in 6 months or over 10% longer; low BMI; low muscle mass) and one cause (eating half or less of needs for over a week, or less for over 2 weeks; inflammation). Severe: weight loss over 10% in 6 months or over 20% longer, or BMI below 18.5 under 70 / below 20 at 70 and over.

>5% within past 6 months, or>10% beyond 6 months | <20 if <70 years, or <22 if >70 years | Asia: <18.5 if <70 years, or <20 if >70 years | ≤50% of ER >1 week, or any reduction for >2 weeks

Cederholm T et al., GLIM Core Leadership Committee and Working Group (J Cachexia Sarcopenia Muscle 2019;10(1):207-217, doi:10.1002/jcsm.12383) (2019) · Table 3 (phenotypic and etiologic criteria); Table 4 (severity); section 3.8 (diagnosis rule) · source

open licence: CC BY 4.0, attribution: Cederholm T et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle 2019;10(1):207-217, doi:10.1002/jcsm.12383. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). No endorsement by the cited bodies is implied.

See also:
  • GLIM criteria for the diagnosis of malnutrition, GLIM (Clin Nutr 2019;38:1-9; JPEN 2019) (2019) · link — original publications; no open licence per Europe PMC
  • GLIM five-year update, GLIM (2025) — summary only; not opened

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Hypoxaemia by SpO2 or PaO2 hypoxaemia_spo2_pao2 catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Hypoxaemia
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: no oxygen-therapy guideline defining hypoxaemia by SpO2 or PaO2 was opened. PaO2/FiO2 bands are executable within the ARDS definitions.

Source not opened

hypoxaemia_spo2_pao2

In our words: No oxygen-saturation definition opened; nothing stored.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Acute kidney injury and chronic kidney disease (kidney rules) kdigo_aki_ckd catalogue U.S. government work Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
AKI / CKD
Tier
1
Licence
U.S. government work
  • GFR bands G1 to G5 including the G3a/G3b split at 45: fact only citation (KDIGO 2024 CKD guideline (numbers restated))
  • albuminuria categories A1 to A3 (A3 at 300 mg/g or more): fact only citation (KDIGO 2012/2024 (numbers restated))
  • AKI stages 1 to 3: open licence (Mahmoud, Erwi, Alfageeh, Cureus 2026;18(5):e109927, Table 2 (CC BY 4.0), restating KDIGO 2012)
  • AKI boundary wording (at least 0.3 mg/dL; at least 1.5 times baseline): fact only citation (KDIGO 2012 AKI guideline, Rec 2.1.1 (numbers restated))
  • 2021 creatinine eGFR equation: public domain (NIDDK, Estimating Glomerular Filtration Rate: Adults (last reviewed May 2025))
Source checked
opened on 2026-11-14: VA/DoD Provider Summary PDF opened 2026-11-14 (Sidebars 2A, 4, 6 read; no copyright statement found); NIDDK equation page and Cureus Table 2 opened the same day. KDIGO texts not re-opened.
Use here
catalogue (not executable)
Edition
2025
Why not executable
Executable already, outside this library: apps/exactdx/rules/kidney (kdigo_aki_2012, kdigo_ckd_2024 with the CKD-EPI equations). Not duplicated here. The rule files keep their own citations until their next version; the permissive sources for them are recorded here and in docs/LIBRARY.md (front conditions).

VA/DoD Clinical Practice Guideline for the Primary Care Management of Chronic Kidney Disease, Provider Summary

kdigo_aki_ckd

In our words: CKD: eGFR below 60, or urine albumin-to-creatinine ratio 30 mg/g or higher, on tests at least 3 months apart. eGFR from the 2021 race-free creatinine equation. AKI: creatinine up at least 0.3 mg/dL in 48 hours, or to at least 1.5 times baseline within 7 days, or low urine output for 6 hours.

Decreased eGFR <60 mL/min/1.73 m2 (GFR categories G3a-G5) for ≥3 months | Albuminuria (UACR ≥30 mg/g) on at least two measurements separated by ≥3 months

U.S. Department of Veterans Affairs and Department of Defense (2025) · Sidebar 2A 'eGFR Calculation' (PDF p. 10); Sidebar 4 'Definition of AKI and AKD' (PDF p. 13); Sidebar 6 'Criteria for CKD' (PDF p. 16) · source

U.S. government work (public domain). No endorsement by the cited bodies is implied.

See also:
  • KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of CKD, KDIGO (Kidney Int 2024;105(4S):S117-S314) (2024), Chapter 1; GFR and albuminuria categories — numbers restated; text, tables and figures not reproduced (CC BY-NC-ND per Europe PMC metadata)
  • KDIGO Clinical Practice Guideline for Acute Kidney Injury, KDIGO (Kidney Int Suppl 2012;2:1-138) (2012), Rec 2.1.1; Table 2 — numbers restated; text not reproduced
  • Acute Kidney Injury in the Intensive Care Unit: Recent Advances, Mahmoud IF, Erwi SM, Alfageeh AM (Cureus 2026;18(5):e109927) (2026), Table 2 'Severity staging system for AKI' · link — open-licence (CC BY 4.0) restatement of the AKI stages; opened 2026-11-14
  • Estimating Glomerular Filtration Rate: Adults, NIDDK (2025), 2021 CKD-EPI Creatinine Equation · link — federal; equation opened 2026-11-14 (no CKD cut-offs on the page)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Pressure injury staging (NPIAP 2016) npiap2016_pressure_injury_stages catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Pressure injury
Tier
3
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2016
Why not executable
Stages are defined by what the wound looks like on examination (intact skin with non-blanchable erythema, partial-thickness loss, full-thickness loss, exposed fascia or bone, slough or eschar obscuring the base, deep tissue injury). There is no measurement to compute.

Pressure Injury and Stages (staging illustrations and definitions)

npiap2016_pressure_injury_stages

In our words: Stages are judged by looking at the wound (from intact skin with redness that does not blanch to full-thickness loss); there is no measurement.

National Pressure Injury Advisory Panel (2016) · NPIAP sheet 'Pressure Injury and Stages' (© September 2016), Stage 1 definition; the NPIAP staging web page refused automated access (HTTP 403) on 2026-11-14, so the deep link could not be confirmed · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • VA/DoD Clinical Practice Guideline for Pressure Injury, VA and DoD (2026) — recommended federal primary; not opened in this build (re-sourcing open)

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Sepsis and septic shock (Sepsis-3) sepsis3_sepsis_and_septic_shock catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Sepsis / septic shock
Tier
2
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
opened on 2026-11-14: Opened by the build that encoded this entry; the threshold matches the opened text.
Use here
catalogue (not executable)
Edition
2016
Why not executable
Sepsis needs suspected or documented infection and an acute change in total SOFA score of 2 points or more consequent to the infection; septic shock adds vasopressor-dependent hypotension and lactate >2 mmol/L after adequate volume resuscitation. Infection, attribution and adequacy of resuscitation are clinical judgements; SOFA needs six organ systems including the Glasgow Coma Scale.

The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)

sepsis3_sepsis_and_septic_shock

In our words: Sepsis: suspected infection with a rise of 2 or more SOFA points. Septic shock adds vasopressors to keep mean pressure at 65 mm Hg or more and lactate above 2 mmol/L after fluids.

SCCM and ESICM task force (JAMA 2016;315:801-810) (2016) · Box 3 'New Terms and Definitions' · source

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

See also:
  • Hospital Toolkit for Adult Sepsis Surveillance, Centers for Disease Control and Prevention (2018), Adult Sepsis Event · link — federal surveillance definition (not diagnostic); optional lactate 2.0 mmol/L or more

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Heart failure acuity and stage uhf2021_hf_acuity_and_stage catalogue Open licence (CC BY) Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Heart failure acuity
Tier
2
Licence
Open licence (CC BY)
Source checked
opened on 2026-11-14: PMC9254673 opened 2026-11-14: stages and trajectory terms read in sections 1.3 and 2.4.
Use here
catalogue (not executable)
Edition
2022
Why not executable
The universal definition's stages (at risk, pre-HF, HF, advanced HF) and acuity or trajectory (new onset, worsening, persistent, in remission) depend on symptoms, signs, structural disease and response to therapy. Only the EF category is numeric and is executable as uhf2021_hf_ef_category.

Clinical implications of the universal definition for the prevention and treatment of heart failure

uhf2021_hf_acuity_and_stage

In our words: Stage (at risk, pre-HF, HF, advanced HF) and acuity are clinical judgements; the record values are shown for review.

at risk for HF, pre‐HF, HF, and advanced HF in place of the previous stages A–D

Chandramouli C, Stewart S, Almahmeed W, Lam CSP (Clin Cardiol 2022;45(Suppl 1):S2-S12, doi:10.1002/clc.23842) (2022) · Section 1.3 'New universal definition' (stages); section 2.4 (trajectory terms) · source

open licence: CC BY 4.0, attribution: Chandramouli C, Stewart S, Almahmeed W, Lam CSP. Clinical implications of the universal definition for the prevention and treatment of heart failure. Clin Cardiol 2022;45(Suppl 1):S2-S12, doi:10.1002/clc.23842. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). No endorsement by the cited bodies is implied.

See also:
  • The second universal definition of heart failure (2026). What's new?, Biegus J, Ponikowski P (ESC Heart Fail 2026;13(5):xvag240) (2026) · link — edition note: CC BY editorial; not opened in this build (captcha); reported to prefer 'decompensated HF' defined by escalated care
  • Universal Definition and Classification of Heart Failure, HFSA, HFA-ESC and JHFS (J Card Fail 2021;27:387-413) (2021) · link — earlier primary; text not reproduced

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

Vitamin B12 deficiency vitamin_b12_deficiency catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Vitamin B12 deficiency
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: no guideline stating serum cobalamin cut-offs was opened (thresholds are assay-dependent and contested; methylmalonic acid and holotranscobalamin are often needed). Not encoded.

Source not opened

vitamin_b12_deficiency

In our words: No cobalamin cut-off opened; nothing stored.

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.

BMI action points for Asian populations (WHO expert consultation 2004) who2004_asian_bmi catalogue Cited source; wording is ours Draft · pending review draft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft — requires clinical and coding review)
Condition
Obesity / overweight
Tier
1
Licence
Cited source; wording is ours
Commercial use
Licence or permission to be obtained before commercial use. Thresholds restated in our own words; source cited; no text reproduced.
Source checked
not opened: No source was opened; nothing is quoted or encoded.
Use here
catalogue (not executable)
Edition
Why not executable
Source not opened: the WHO expert consultation (Lancet 2004;363:157-163) was not opened; population-specific BMI cut-offs are therefore not encoded.

Source not opened

who2004_asian_bmi

In our words: Lower BMI action points for Asian populations were not opened; nothing stored (WHO non-commercial licence if ever encoded).

cited source; wording is ours (numbers restated, no text reproduced). No endorsement by the cited bodies is implied.

Review

Reviewed only when both a clinical review and a coding review are recorded as approved.

Clinical review: none recorded yet.

Coding review: none recorded yet.