{"use":"reference for coders — the clinician's documented statement governs; the software does not assign codes","rows":[{"source":"front","capability":"core","family":"front_kidney","condition":"Kidney disease stage (filtering rate)","tier":"measured","definition":"front_kidney_stage_wording@1.0","direction":"UNDER","category":null,"category_label":null,"state":null,"values":null,"record_supports":["Chronic kidney disease stage 4"],"note":{"status":"silent","quotes":[],"mentions":[]},"entered":[],"assessment":"not_stated","assessment_label":"The record supports it; neither stated in the note nor entered","detail":"Two kidney results 180 days apart are in the G4 range (filtering rate 25.6 on 2026-05-14 and 23.4 on 2026-11-10); the note doesn't mention kidney function.","specificity_distinguished":null,"expected_codes":[],"open":true,"review_state":"draft — pending clinical and coding review"},{"source":"library","capability":"extended","family":"copd_airflow","condition":"Chronic obstructive pulmonary disease (airflow component)","tier":"judgement","definition":"gold2026_copd_airflow@1.0","direction":null,"category":"gold_2","category_label":"GOLD 2 (moderate): 50% ≤ FEV1 <80% predicted","state":"met","values":[{"analyte":"fev1_fvc_ratio_post_bd","measurement_id":"LM-P07-01","time":"2026-09-11T10:00:00-04:00","unit":"ratio","value":0.58},{"analyte":"fev1_pct_predicted_post_bd","measurement_id":"LM-P07-02","time":"2026-09-11T10:00:00-04:00","unit":"%","value":62.0}],"record_supports":null,"note":{"mentions":[{"assertion":"affirmed","quote":"COPD"},{"assertion":"affirmed","quote":"COPD"}],"quotes":["COPD","COPD"],"status":"stated"},"entered":[{"code":"J44.9","description":"Chronic obstructive pulmonary disease, unspecified","dx_id":"LD-P07-1","source":"visit diagnosis list (synthetic)"}],"assessment":"cannot_assess","assessment_label":"Cannot be assessed","detail":"judgement tier: the record shows these values; the condition needs clinical judgement","specificity_distinguished":"COPD with acute lower respiratory infection, with acute exacerbation, bronchiolitis obliterans, other specified, unspecified; the code set does not distinguish GOLD grades","expected_codes":[],"open":false,"review_state":"draft — pending clinical and coding review"}]}