← All runs · Coder view for P43
Replay LRUN-00051 criteria library
Live recomputation (nothing written): identical hash
- Stored replay hash
3a584d2d11b6c6e4dabbf65ba3a9a5df8528c9ddb8fa5f3c8ca5c311f32bea17- Recomputed replay hash
3a584d2d11b6c6e4dabbf65ba3a9a5df8528c9ddb8fa5f3c8ca5c311f32bea17- Measurement-side replay hash
255d3ad4f837144ff8db32b8b0b9418f24b3b7641b26f15c84751fc4b50d9756- Inputs intact
- yes
- Engine and default set
- library-engine 1.1 · library_default_set@1.1
- Trigger
- warm · Fri Nov 13, 2026 04:55 PM · after kidney check RUN-00051
| Definition | Logic sha256 |
|---|---|
ada2026_diabetes@1.0 | 66dcb78f2918378f… |
ada2026_hypoglycaemia@1.0 | 158bab884e1f184c… |
ada2026_prediabetes@1.0 | 5192a75ace777700… |
berlin2012_ards_pf@1.0 | 8ac42d131a4ec6bd… |
cdc_adult_bmi@1.0 | 7fa4ea340586577b… |
esc2024_office_bp@1.0 | c587f2a3f89b72d2… |
ese2014_hyponatraemia@1.0 | 1073b9418c199d40… |
global2024_ards_intubated_pf@1.0 | bf12fe3c0e3b8557… |
gold2026_copd_airflow@1.0 | 17f4fcc3eb3a83d7… |
nhlbi_bp_categories@1.0 | 23ec2199c011709b… |
sepsis3_septic_shock_lactate@1.0 | 7697918d342cff92… |
uhf2021_hf_ef_category@1.0 | 7ca8bcb537dae6fb… |
ukka2026_hyperkalaemia@1.0 | 465c06e7806ffa24… |
who1994_osteoporosis@1.0 | def6513f2d99bccd… |
who2020_iron_deficiency_ferritin@1.0 | 097af27961f584f4… |
who2024_anaemia@1.0 | 7e9c76b17df3a87c… |
Stored inputs (exactly what the definitions read)
{
"as_of": "2026-11-13T16:55:00-05:00",
"context": {},
"encounter": {
"admit_dt": "2026-11-12T15:00:00-05:00",
"discharge_dt": "2026-11-12T15:40:00-05:00",
"encounter_id": "KE-P43",
"setting": "outpatient"
},
"entered": [],
"measurements": [],
"note": {
"note_id": "KN-P43-1",
"reading": {
"default_status": "silent",
"families": {
"blood_pressure": {
"faults": [],
"spans": [],
"status": "silent"
},
"bmi": {
"faults": [],
"spans": [],
"status": "silent"
},
"bone_density": {
"faults": [],
"spans": [],
"status": "silent"
},
"copd_airflow": {
"faults": [],
"spans": [],
"status": "silent"
},
"diabetes": {
"faults": [],
"spans": [],
"status": "silent"
},
"ferritin": {
"faults": [],
"spans": [],
"status": "silent"
},
"haemoglobin": {
"faults": [],
"spans": [],
"status": "silent"
},
"heart_failure_ef": {
"faults": [],
"spans": [
{
"assertion": "affirmed",
"categories": [],
"end": 126,
"family": "heart_failure_ef",
"general": true,
"origin": "both",
"quote": "HFrEF",
"start": 121,
"words": []
}
],
"status": "stated"
},
"hypoglycaemia": {
"faults": [],
"spans": [],
"status": "silent"
},
"lactate": {
"faults": [],
"spans": [],
"status": "silent"
},
"oxygenation": {
"faults": [],
"spans": [],
"status": "silent"
},
"potassium": {
"faults": [],
"spans": [],
"status": "silent"
},
"prediabetes": {
"faults": [],
"spans": [],
"status": "silent"
},
"sodium": {
"faults": [],
"spans": [],
"status": "silent"
}
},
"lexicon": "library-lexicon 1.0",
"model_status": "ok",
"reader": "lexicon+model",
"text_sha256": "bdfbeadf01d061ad5a209d67b9f19323d5af10539e0932478102417e02213759"
}
},
"patient": {
"birth_date": "1962-11-17",
"patient_id": "P43",
"sex": "M"
},
"settings": {
"ctcae_grading": false
}
}Stored output
{
"coder_rows": [
{
"assessment": "cannot_assess",
"assessment_label": "Cannot be assessed",
"category": null,
"category_label": null,
"condition": "Heart failure (ejection-fraction category)",
"definition": "uhf2021_hf_ef_category@1.0",
"detail": "judgement tier: the record shows these values; the condition needs clinical judgement",
"entered": [],
"expected_codes": [],
"family": "heart_failure_ef",
"note": {
"mentions": [
{
"assertion": "affirmed",
"quote": "HFrEF"
}
],
"quotes": [
"HFrEF"
],
"status": "stated"
},
"open": false,
"query_available": false,
"reasons": [
"needed to decide whether the definition applies: context 'heart_failure' not provided"
],
"specificity_distinguished": null,
"state": "no_data",
"supported": null,
"tier": "judgement",
"values": []
}
],
"config": "library_default_set@1.1",
"definitions": {
"ada2026_diabetes@1.0": "66dcb78f2918378fc532ff75fd74098b61bb295cad939b42796a39ace6213941",
"ada2026_hypoglycaemia@1.0": "158bab884e1f184c1a1f648554d04b2de66e7964d5183b0d4014600895feb041",
"ada2026_prediabetes@1.0": "5192a75ace777700efde56dd409d70979bed93040bfa3b6f717e0abeb052249e",
"berlin2012_ards_pf@1.0": "8ac42d131a4ec6bd45226acb040875625ce3dff11e9457fcebd3aad97930a0ec",
"cdc_adult_bmi@1.0": "7fa4ea340586577b4960ded36c540d2aa84bce61fb0993674e87bd78e7b8fb59",
"esc2024_office_bp@1.0": "c587f2a3f89b72d23e2f3398a19032fa927cd191fb188c9352ea86dddac13f6e",
"ese2014_hyponatraemia@1.0": "1073b9418c199d4064d10b4fa9544ba36a5f0d2794d769be20f68b6eff99f0fd",
"global2024_ards_intubated_pf@1.0": "bf12fe3c0e3b85576dc5b9088f4fb48ee75713654f11eebe42c4c911eeb261cc",
"gold2026_copd_airflow@1.0": "17f4fcc3eb3a83d738726308cb1c884b4e25ff4f63475e32790c84716d80c26a",
"nhlbi_bp_categories@1.0": "23ec2199c011709b112c82d729a3deb390433bd5cf3f2422b65e2d573d80db40",
"sepsis3_septic_shock_lactate@1.0": "7697918d342cff9267e9b2c3b08c0331fc544fd43c6f9e82c98423dc57fa6f2d",
"uhf2021_hf_ef_category@1.0": "7ca8bcb537dae6fb41b4d2fb3d1fa566df1290d811bfb580824db91934b6cadb",
"ukka2026_hyperkalaemia@1.0": "465c06e7806ffa248be183f79af26be52f2ed92ffc36d2ed313f475bb3ce8683",
"who1994_osteoporosis@1.0": "def6513f2d99bccdde4399da2dcb3cbb8a5a6177d1b5eacd795279cd1c89565a",
"who2020_iron_deficiency_ferritin@1.0": "097af27961f584f48976a1ae2b3118f634bb7253e6b1c9696dbaa5bc5edac85b",
"who2024_anaemia@1.0": "7e9c76b17df3a87cec6e731ea41294382f44eb2976b39827f69e79b8361f3fa5"
},
"engine": "library-engine 1.1",
"findings": [
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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.",
"definition": "who2024_anaemia@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "haemoglobin",
"family_order": 0,
"id": "who2024_anaemia",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "'severe' band (haemoglobin < 70 g/L); 'moderate' band (haemoglobin \u2265 70 g/L and haemoglobin < 100 g/L); 'mild' band (haemoglobin \u2265 100 g/L and haemoglobin < 110 g/L)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "who2024_anaemia@1.0",
"edition_current": true,
"family": "haemoglobin",
"has_data": false,
"id": "who2024_anaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable haemoglobin measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 30,
"from": "2026-10-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
0,
"haemoglobin"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Haemoglobin",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": false,
"contested_note": "The <135 mmol/L definition is widely shared; CTCAE uses the laboratory LLN instead.",
"definition": "ese2014_hyponatraemia@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "sodium",
"family_order": 1,
"id": "ese2014_hyponatraemia",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "below 135 mmol/L (sodium < 135 mmol/L)",
"confirmation": null,
"contested": false,
"contested_note": "The <135 mmol/L definition is widely shared; CTCAE uses the laboratory LLN instead.",
"definition": "ese2014_hyponatraemia@1.0",
"edition_current": null,
"family": "sodium",
"has_data": false,
"id": "ese2014_hyponatraemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable sodium_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
1,
"sodium"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Sodium",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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).",
"definition": "ukka2026_hyperkalaemia@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "potassium",
"family_order": 2,
"id": "ukka2026_hyperkalaemia",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "'severe' band (6.5 mmol/L or more) (potassium \u2265 6.5 mmol/L); 'moderate' band (6.0 to 6.4 mmol/L) (potassium \u2265 6 mmol/L and potassium < 6.5 mmol/L); 'mild' band (5.5 to 5.9 mmol/L) (potassium \u2265 5.5 mmol/L and potassium < 6 mmol/L)",
"confirmation": null,
"contested": true,
"contested_note": "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).",
"definition": "ukka2026_hyperkalaemia@1.0",
"edition_current": true,
"family": "potassium",
"has_data": false,
"id": "ukka2026_hyperkalaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable potassium_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
2,
"potassium"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Potassium",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": false,
"contested_note": "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).",
"definition": "ada2026_diabetes@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "diabetes",
"family_order": 3,
"id": "ada2026_diabetes",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "two results at or above the diagnostic thresholds (number of qualifying results \u2265 2); random glucose 200 mg/dL or more with typical symptoms (random glucose \u2265 200 mg/dL and a recorded clinical item); one result at or above a diagnostic threshold (number of qualifying results \u2265 1)",
"confirmation": null,
"contested": false,
"contested_note": "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).",
"definition": "ada2026_diabetes@1.0",
"edition_current": true,
"family": "diabetes",
"has_data": false,
"id": "ada2026_diabetes",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"none of hba1c, glucose_fasting_plasma, glucose_ogtt_2h_plasma, glucose_random_plasma has a usable measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 730,
"from": "2024-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
3,
"diabetes"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Glucose and HbA1c",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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.",
"definition": "ada2026_prediabetes@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "prediabetes",
"family_order": 4,
"id": "ada2026_prediabetes",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "intermediate range (HbA1c 5.7 to 6.4%, fasting glucose 100 to 125 mg/dL, or 2-hour glucose 140 to 199 mg/dL) (HbA1c \u2265 5.7 % and HbA1c < 6.5 % or fasting glucose \u2265 100 mg/dL and fasting glucose < 126 mg/dL or 2-hour glucose \u2265 140 mg/dL and 2-hour glucose < 200 mg/dL)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "ada2026_prediabetes@1.0",
"edition_current": true,
"family": "prediabetes",
"has_data": false,
"id": "ada2026_prediabetes",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"none of hba1c, glucose_fasting_plasma, glucose_ogtt_2h_plasma has a usable measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
4,
"prediabetes"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Glucose and HbA1c (intermediate range)",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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.",
"definition": "ada2026_hypoglycaemia@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "hypoglycaemia",
"family_order": 5,
"id": "ada2026_hypoglycaemia",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "level 3 (severe event needing assistance) (a recorded clinical item); level 2 (glucose below 54 mg/dL) (glucose < 54 mg/dL); level 1 (glucose 54 to below 70 mg/dL) (glucose \u2265 54 mg/dL and glucose < 70 mg/dL)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "ada2026_hypoglycaemia@1.0",
"edition_current": true,
"family": "hypoglycaemia",
"has_data": false,
"id": "ada2026_hypoglycaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'has_diabetes' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
5,
"hypoglycaemia"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Low glucose values",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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.",
"definition": "cdc_adult_bmi@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "bmi",
"family_order": 6,
"id": "cdc_adult_bmi",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "40 or more band (class 3) (body-mass index \u2265 40 kg/m2); 35 to below 40 band (class 2) (body-mass index \u2265 35 kg/m2 and body-mass index < 40 kg/m2); 30 to below 35 band (class 1) (body-mass index \u2265 30 kg/m2 and body-mass index < 35 kg/m2); 25 to below 30 band (body-mass index \u2265 25 kg/m2 and body-mass index < 30 kg/m2); below 18.5 band (body-mass index < 18.5 kg/m2)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "cdc_adult_bmi@1.0",
"edition_current": true,
"family": "bmi",
"has_data": false,
"id": "cdc_adult_bmi",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable bmi measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
6,
"bmi"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Body-mass index",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "European guidelines define hypertension at 140/90 (ESC 2024, encoded separately as esc2024_office_bp) while AHA/ACC use 130/80.",
"definition": "nhlbi_bp_categories@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "blood_pressure",
"family_order": 7,
"id": "nhlbi_bp_categories",
"measurement": {
"adjustments": [],
"alternatives": [
{
"category": null,
"category_label": null,
"clinician_label": null,
"definition": "esc2024_office_bp@1.0",
"id": "esc2024_office_bp",
"optional_set": null,
"reason_code": "no_value",
"reasons": [
"no reading with all of bp_systolic_office, bp_diastolic_office recorded at the same time",
"no usable bp_diastolic_office measurement",
"no usable bp_systolic_office measurement"
],
"result": "not_assessable",
"version": "1.0"
}
],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "range above 180 systolic or above 120 diastolic (systolic > 180 mmHg or diastolic > 120 mmHg); stage 2 range (140 or more systolic, or 90 or more diastolic) (systolic \u2265 140 mmHg or diastolic \u2265 90 mmHg); stage 1 range (130 to 139 systolic, or 80 to 89 diastolic) (systolic \u2265 130 mmHg and systolic < 140 mmHg or diastolic \u2265 80 mmHg and diastolic < 90 mmHg); elevated range (120 to 129 systolic and below 80 diastolic) (systolic \u2265 120 mmHg and systolic < 130 mmHg and diastolic < 80 mmHg)",
"confirmation": null,
"contested": true,
"contested_note": "European guidelines define hypertension at 140/90 (ESC 2024, encoded separately as esc2024_office_bp) while AHA/ACC use 130/80.",
"definition": "nhlbi_bp_categories@1.0",
"edition_current": true,
"family": "blood_pressure",
"has_data": false,
"id": "nhlbi_bp_categories",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no reading with all of bp_systolic_office, bp_diastolic_office recorded at the same time",
"no usable bp_diastolic_office measurement",
"no usable bp_systolic_office measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
7,
"blood_pressure"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Blood pressure readings",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "Ferritin cut-offs for iron deficiency vary widely between bodies and studies (the guideline's own review cites thresholds from <12 to <30 \u00b5g/L in pregnancy); WHO's are low (high specificity). Other bodies (e.g. gastroenterology guidance) use higher values; those texts were not opened.",
"definition": "who2020_iron_deficiency_ferritin@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "ferritin",
"family_order": 8,
"id": "who2020_iron_deficiency_ferritin",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "band below the ferritin cut-off for this group (ferritin < 15 ug/L)",
"confirmation": null,
"contested": true,
"contested_note": "Ferritin cut-offs for iron deficiency vary widely between bodies and studies (the guideline's own review cites thresholds from <12 to <30 \u00b5g/L in pregnancy); WHO's are low (high specificity). Other bodies (e.g. gastroenterology guidance) use higher values; those texts were not opened.",
"definition": "who2020_iron_deficiency_ferritin@1.0",
"edition_current": true,
"family": "ferritin",
"has_data": false,
"id": "who2020_iron_deficiency_ferritin",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable ferritin_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 180,
"from": "2026-05-17T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
8,
"ferritin"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Ferritin",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"contradiction",
"not_stated"
],
"contested": true,
"contested_note": "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'.",
"definition": "who1994_osteoporosis@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "bone_density",
"family_order": 9,
"id": "who1994_osteoporosis",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "T-score below -2.5 with a fragility fracture (T-score < -2.5 SD and a recorded clinical item); T-score -2.5 or lower band (T-score \u2264 -2.5 SD); T-score between -1 and -2.5 band (T-score > -2.5 SD and T-score < -1 SD)",
"confirmation": null,
"contested": true,
"contested_note": "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'.",
"definition": "who1994_osteoporosis@1.0",
"edition_current": null,
"family": "bone_density",
"has_data": false,
"id": "who1994_osteoporosis",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"outside the population the source defines: postmenopausal women (the report's categories are stated 'in women' in the context of postmenopausal osteoporosis)"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 1095,
"from": "2023-11-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
9,
"bone_density"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "measured",
"topic": "Bone density T-score",
"version": "1.0",
"why": "no measurement in the window"
},
{
"checks": [
"judgement_tier"
],
"contested": true,
"contested_note": "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.",
"definition": "gold2026_copd_airflow@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "copd_airflow",
"family_order": 10,
"id": "gold2026_copd_airflow",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "FEV1/FVC below 0.7 with FEV1 below 30% predicted (grade 4) (FEV1/FVC < 0.7 and FEV1 % predicted < 30 %); FEV1/FVC below 0.7 with FEV1 30 to below 50% predicted (grade 3) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 30 % and FEV1 % predicted < 50 %); FEV1/FVC below 0.7 with FEV1 50 to below 80% predicted (grade 2) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 50 % and FEV1 % predicted < 80 %); FEV1/FVC below 0.7 with FEV1 80% predicted or more (grade 1) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 80 %)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "gold2026_copd_airflow@1.0",
"edition_current": true,
"family": "copd_airflow",
"has_data": false,
"id": "gold2026_copd_airflow",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no reading with all of fev1_fvc_ratio_post_bd, fev1_pct_predicted_post_bd recorded at the same time",
"no usable fev1_fvc_ratio_post_bd measurement",
"no usable fev1_pct_predicted_post_bd measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 1095,
"from": "2023-11-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
10,
"copd_airflow"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "judgement",
"topic": "Lung function after bronchodilator",
"version": "1.0",
"why": ""
},
{
"checks": [
"judgement_tier"
],
"contested": false,
"contested_note": "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).",
"definition": "uhf2021_hf_ef_category@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "heart_failure_ef",
"family_order": 11,
"id": "uhf2021_hf_ef_category",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "improved category (from 40% or below to above 40%, a rise of 10 points or more) (earliest ejection fraction \u2264 40 % and ejection fraction > 40 % and change in ejection fraction \u2265 10); 40% or below (ejection fraction \u2264 40 %); 41 to 49% (ejection fraction > 40 % and ejection fraction < 50 %); 50% or above (ejection fraction \u2265 50 %)",
"confirmation": null,
"contested": false,
"contested_note": "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).",
"definition": "uhf2021_hf_ef_category@1.0",
"edition_current": false,
"family": "heart_failure_ef",
"has_data": false,
"id": "uhf2021_hf_ef_category",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'heart_failure' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 730,
"from": "2024-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [
{
"assertion": "affirmed",
"categories": [],
"end": 126,
"family": "heart_failure_ef",
"general": true,
"origin": "both",
"quote": "HFrEF",
"start": 121,
"words": []
}
],
"status": "stated"
},
"optional_set": null,
"priority": [
8,
11,
"heart_failure_ef"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "judgement",
"topic": "Ejection fraction",
"version": "1.0",
"why": ""
},
{
"checks": [
"judgement_tier"
],
"contested": false,
"contested_note": "The CMS SEP-1 measure and the Surviving Sepsis Campaign use lactate thresholds for other purposes (for example \u22654 mmol/L); those documents were not opened for this entry.",
"definition": "sepsis3_septic_shock_lactate@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "lactate",
"family_order": 12,
"id": "sepsis3_septic_shock_lactate",
"measurement": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "lactate above 2 mmol/L (lactate > 2 mmol/L)",
"confirmation": null,
"contested": false,
"contested_note": "The CMS SEP-1 measure and the Surviving Sepsis Campaign use lactate thresholds for other purposes (for example \u22654 mmol/L); those documents were not opened for this entry.",
"definition": "sepsis3_septic_shock_lactate@1.0",
"edition_current": true,
"family": "lactate",
"has_data": false,
"id": "sepsis3_septic_shock_lactate",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable lactate_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 7,
"from": "2026-11-06T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
12,
"lactate"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "judgement",
"topic": "Lactate",
"version": "1.0",
"why": ""
},
{
"checks": [
"judgement_tier"
],
"contested": false,
"contested_note": "Bands unchanged from Berlin for intubated patients.",
"definition": "global2024_ards_intubated_pf@1.0",
"direction": "NOT_ASSESSED",
"draft": true,
"family": "oxygenation",
"family_order": 13,
"id": "global2024_ards_intubated_pf",
"measurement": {
"adjustments": [],
"alternatives": [
{
"category": null,
"category_label": null,
"clinician_label": null,
"definition": "berlin2012_ards_pf@1.0",
"id": "berlin2012_ards_pf",
"optional_set": null,
"reason_code": "no_value",
"reasons": [
"no reading with all of pao2, fio2 recorded at the same time",
"no usable fio2 measurement",
"no usable pao2 measurement"
],
"result": "not_assessable",
"version": "1.0"
}
],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "PaO2/FiO2 \u2264 100; PaO2/FiO2 > 100 and PaO2/FiO2 \u2264 200; PaO2/FiO2 > 200 and PaO2/FiO2 \u2264 300",
"confirmation": null,
"contested": false,
"contested_note": "Bands unchanged from Berlin for intubated patients.",
"definition": "global2024_ards_intubated_pf@1.0",
"edition_current": true,
"family": "oxygenation",
"has_data": false,
"id": "global2024_ards_intubated_pf",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'intubated' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 7,
"from": "2026-11-06T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"note": {
"faults": [],
"spans": [],
"status": "silent"
},
"optional_set": null,
"priority": [
8,
13,
"oxygenation"
],
"status_text": "draft \u2014 requires clinical and coding review",
"tier": "judgement",
"topic": "Oxygenation (PaO2/FiO2)",
"version": "1.0",
"why": ""
}
],
"measurement": {
"config": "library_default_set@1.1",
"context_used": {
"age_years": 63,
"sex": "male"
},
"engine": "library-engine 1.1",
"families": {
"blood_pressure": {
"adjustments": [],
"alternatives": [
{
"category": null,
"category_label": null,
"clinician_label": null,
"definition": "esc2024_office_bp@1.0",
"id": "esc2024_office_bp",
"optional_set": null,
"reason_code": "no_value",
"reasons": [
"no reading with all of bp_systolic_office, bp_diastolic_office recorded at the same time",
"no usable bp_diastolic_office measurement",
"no usable bp_systolic_office measurement"
],
"result": "not_assessable",
"version": "1.0"
}
],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "range above 180 systolic or above 120 diastolic (systolic > 180 mmHg or diastolic > 120 mmHg); stage 2 range (140 or more systolic, or 90 or more diastolic) (systolic \u2265 140 mmHg or diastolic \u2265 90 mmHg); stage 1 range (130 to 139 systolic, or 80 to 89 diastolic) (systolic \u2265 130 mmHg and systolic < 140 mmHg or diastolic \u2265 80 mmHg and diastolic < 90 mmHg); elevated range (120 to 129 systolic and below 80 diastolic) (systolic \u2265 120 mmHg and systolic < 130 mmHg and diastolic < 80 mmHg)",
"confirmation": null,
"contested": true,
"contested_note": "European guidelines define hypertension at 140/90 (ESC 2024, encoded separately as esc2024_office_bp) while AHA/ACC use 130/80.",
"definition": "nhlbi_bp_categories@1.0",
"edition_current": true,
"family": "blood_pressure",
"has_data": false,
"id": "nhlbi_bp_categories",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no reading with all of bp_systolic_office, bp_diastolic_office recorded at the same time",
"no usable bp_diastolic_office measurement",
"no usable bp_systolic_office measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"bmi": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "40 or more band (class 3) (body-mass index \u2265 40 kg/m2); 35 to below 40 band (class 2) (body-mass index \u2265 35 kg/m2 and body-mass index < 40 kg/m2); 30 to below 35 band (class 1) (body-mass index \u2265 30 kg/m2 and body-mass index < 35 kg/m2); 25 to below 30 band (body-mass index \u2265 25 kg/m2 and body-mass index < 30 kg/m2); below 18.5 band (body-mass index < 18.5 kg/m2)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "cdc_adult_bmi@1.0",
"edition_current": true,
"family": "bmi",
"has_data": false,
"id": "cdc_adult_bmi",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable bmi measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"bone_density": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "T-score below -2.5 with a fragility fracture (T-score < -2.5 SD and a recorded clinical item); T-score -2.5 or lower band (T-score \u2264 -2.5 SD); T-score between -1 and -2.5 band (T-score > -2.5 SD and T-score < -1 SD)",
"confirmation": null,
"contested": true,
"contested_note": "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'.",
"definition": "who1994_osteoporosis@1.0",
"edition_current": null,
"family": "bone_density",
"has_data": false,
"id": "who1994_osteoporosis",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"outside the population the source defines: postmenopausal women (the report's categories are stated 'in women' in the context of postmenopausal osteoporosis)"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 1095,
"from": "2023-11-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"copd_airflow": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "FEV1/FVC below 0.7 with FEV1 below 30% predicted (grade 4) (FEV1/FVC < 0.7 and FEV1 % predicted < 30 %); FEV1/FVC below 0.7 with FEV1 30 to below 50% predicted (grade 3) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 30 % and FEV1 % predicted < 50 %); FEV1/FVC below 0.7 with FEV1 50 to below 80% predicted (grade 2) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 50 % and FEV1 % predicted < 80 %); FEV1/FVC below 0.7 with FEV1 80% predicted or more (grade 1) (FEV1/FVC < 0.7 and FEV1 % predicted \u2265 80 %)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "gold2026_copd_airflow@1.0",
"edition_current": true,
"family": "copd_airflow",
"has_data": false,
"id": "gold2026_copd_airflow",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no reading with all of fev1_fvc_ratio_post_bd, fev1_pct_predicted_post_bd recorded at the same time",
"no usable fev1_fvc_ratio_post_bd measurement",
"no usable fev1_pct_predicted_post_bd measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 1095,
"from": "2023-11-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"diabetes": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "two results at or above the diagnostic thresholds (number of qualifying results \u2265 2); random glucose 200 mg/dL or more with typical symptoms (random glucose \u2265 200 mg/dL and a recorded clinical item); one result at or above a diagnostic threshold (number of qualifying results \u2265 1)",
"confirmation": null,
"contested": false,
"contested_note": "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).",
"definition": "ada2026_diabetes@1.0",
"edition_current": true,
"family": "diabetes",
"has_data": false,
"id": "ada2026_diabetes",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"none of hba1c, glucose_fasting_plasma, glucose_ogtt_2h_plasma, glucose_random_plasma has a usable measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 730,
"from": "2024-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"ferritin": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "band below the ferritin cut-off for this group (ferritin < 15 ug/L)",
"confirmation": null,
"contested": true,
"contested_note": "Ferritin cut-offs for iron deficiency vary widely between bodies and studies (the guideline's own review cites thresholds from <12 to <30 \u00b5g/L in pregnancy); WHO's are low (high specificity). Other bodies (e.g. gastroenterology guidance) use higher values; those texts were not opened.",
"definition": "who2020_iron_deficiency_ferritin@1.0",
"edition_current": true,
"family": "ferritin",
"has_data": false,
"id": "who2020_iron_deficiency_ferritin",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable ferritin_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 180,
"from": "2026-05-17T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"haemoglobin": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "'severe' band (haemoglobin < 70 g/L); 'moderate' band (haemoglobin \u2265 70 g/L and haemoglobin < 100 g/L); 'mild' band (haemoglobin \u2265 100 g/L and haemoglobin < 110 g/L)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "who2024_anaemia@1.0",
"edition_current": true,
"family": "haemoglobin",
"has_data": false,
"id": "who2024_anaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable haemoglobin measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 30,
"from": "2026-10-14T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"heart_failure_ef": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "improved category (from 40% or below to above 40%, a rise of 10 points or more) (earliest ejection fraction \u2264 40 % and ejection fraction > 40 % and change in ejection fraction \u2265 10); 40% or below (ejection fraction \u2264 40 %); 41 to 49% (ejection fraction > 40 % and ejection fraction < 50 %); 50% or above (ejection fraction \u2265 50 %)",
"confirmation": null,
"contested": false,
"contested_note": "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).",
"definition": "uhf2021_hf_ef_category@1.0",
"edition_current": false,
"family": "heart_failure_ef",
"has_data": false,
"id": "uhf2021_hf_ef_category",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'heart_failure' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 730,
"from": "2024-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"hypoglycaemia": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "level 3 (severe event needing assistance) (a recorded clinical item); level 2 (glucose below 54 mg/dL) (glucose < 54 mg/dL); level 1 (glucose 54 to below 70 mg/dL) (glucose \u2265 54 mg/dL and glucose < 70 mg/dL)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "ada2026_hypoglycaemia@1.0",
"edition_current": true,
"family": "hypoglycaemia",
"has_data": false,
"id": "ada2026_hypoglycaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'has_diabetes' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"lactate": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "lactate above 2 mmol/L (lactate > 2 mmol/L)",
"confirmation": null,
"contested": false,
"contested_note": "The CMS SEP-1 measure and the Surviving Sepsis Campaign use lactate thresholds for other purposes (for example \u22654 mmol/L); those documents were not opened for this entry.",
"definition": "sepsis3_septic_shock_lactate@1.0",
"edition_current": true,
"family": "lactate",
"has_data": false,
"id": "sepsis3_septic_shock_lactate",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable lactate_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 7,
"from": "2026-11-06T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"oxygenation": {
"adjustments": [],
"alternatives": [
{
"category": null,
"category_label": null,
"clinician_label": null,
"definition": "berlin2012_ards_pf@1.0",
"id": "berlin2012_ards_pf",
"optional_set": null,
"reason_code": "no_value",
"reasons": [
"no reading with all of pao2, fio2 recorded at the same time",
"no usable fio2 measurement",
"no usable pao2 measurement"
],
"result": "not_assessable",
"version": "1.0"
}
],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "PaO2/FiO2 \u2264 100; PaO2/FiO2 > 100 and PaO2/FiO2 \u2264 200; PaO2/FiO2 > 200 and PaO2/FiO2 \u2264 300",
"confirmation": null,
"contested": false,
"contested_note": "Bands unchanged from Berlin for intubated patients.",
"definition": "global2024_ards_intubated_pf@1.0",
"edition_current": true,
"family": "oxygenation",
"has_data": false,
"id": "global2024_ards_intubated_pf",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"needed to decide whether the definition applies: context 'intubated' not provided"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "judgement",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 7,
"from": "2026-11-06T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"potassium": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "'severe' band (6.5 mmol/L or more) (potassium \u2265 6.5 mmol/L); 'moderate' band (6.0 to 6.4 mmol/L) (potassium \u2265 6 mmol/L and potassium < 6.5 mmol/L); 'mild' band (5.5 to 5.9 mmol/L) (potassium \u2265 5.5 mmol/L and potassium < 6 mmol/L)",
"confirmation": null,
"contested": true,
"contested_note": "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).",
"definition": "ukka2026_hyperkalaemia@1.0",
"edition_current": true,
"family": "potassium",
"has_data": false,
"id": "ukka2026_hyperkalaemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable potassium_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"prediabetes": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "intermediate range (HbA1c 5.7 to 6.4%, fasting glucose 100 to 125 mg/dL, or 2-hour glucose 140 to 199 mg/dL) (HbA1c \u2265 5.7 % and HbA1c < 6.5 % or fasting glucose \u2265 100 mg/dL and fasting glucose < 126 mg/dL or 2-hour glucose \u2265 140 mg/dL and 2-hour glucose < 200 mg/dL)",
"confirmation": null,
"contested": true,
"contested_note": "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.",
"definition": "ada2026_prediabetes@1.0",
"edition_current": true,
"family": "prediabetes",
"has_data": false,
"id": "ada2026_prediabetes",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"none of hba1c, glucose_fasting_plasma, glucose_ogtt_2h_plasma has a usable measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 365,
"from": "2025-11-13T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
},
"sodium": {
"adjustments": [],
"alternatives": [],
"any_history": false,
"category": null,
"category_label": null,
"clinician_label": null,
"condition_threshold": "below 135 mmol/L (sodium < 135 mmol/L)",
"confirmation": null,
"contested": false,
"contested_note": "The <135 mmol/L definition is widely shared; CTCAE uses the laboratory LLN instead.",
"definition": "ese2014_hyponatraemia@1.0",
"edition_current": null,
"family": "sodium",
"has_data": false,
"id": "ese2014_hyponatraemia",
"missing_context": [],
"notes": [],
"reason_code": "no_value",
"reasons": [
"no usable sodium_serum measurement"
],
"result": "not_assessable",
"scan": [],
"state": "no_data",
"status_text": "draft \u2014 requires clinical and coding review",
"supported": null,
"threshold": null,
"tier": "measured",
"values": [],
"variant": null,
"version": "1.0",
"window": {
"days": 14,
"from": "2026-10-30T21:55:00",
"n": 0,
"to": "2026-11-13T21:55:00"
},
"window_assessable": false,
"window_met": false
}
}
},
"measurement_sha256": "97fec3427a72cc007d67dd52b9be55656f1b5cc03d98dbc27c7882ca1af9f53a",
"reader": {
"lexicon": "library-lexicon 1.0",
"model_status": "ok",
"reader": "lexicon+model"
}
}