One row per condition family: what the record supports under the published definition, what the note states, the
visit's diagnosis entries, and an assessment. Codes are coded from the signed documentation; the software never assigns one.
Filtering rate 38.4 on 2026-07-25 (G3b range) and 37.0 on 2026-11-12 (G3b range) · L-0078
Urine albumin-to-creatinine ratio 165 mg/g on 2026-11-12: A2 range · L-0081
Urine albumin-to-creatinine ratio 140 mg/g on 2026-07-25: A2 range · L-0079
Albuminuria on two tests at least 90 days apart: yes
Options and what the record shows
Chronic kidney disease stage 1 · needs filtering rate 90 or above with a kidney damage marker (for example albuminuria on two tests at least 90 days apart) · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · not met
Chronic kidney disease stage 2 · needs filtering rate 60-89 with a kidney damage marker (for example albuminuria on two tests at least 90 days apart) · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · not met
Chronic kidney disease stage 3a · needs filtering rate 45-59 on two results at least 90 days apart · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · not met
Chronic kidney disease stage 3b · needs filtering rate 30-44 on two results at least 90 days apart · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · met
Chronic kidney disease stage 4 · needs filtering rate 15-29 on two results at least 90 days apart · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · not met
Chronic kidney disease stage 5 · needs filtering rate below 15 on two results at least 90 days apart · record: filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12 (G3b range) · not met
Citation
Kidney disease stage wording by filtering rate, with the albumin-to-creatinine category (options for the clinician)
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.
Department of Veterans Affairs and Department of Defense, VA/DoD Clinical Practice Guideline for the Primary Care Management of Chronic Kidney Disease, Provider Summary (Version 5.0) (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
Licence: U.S. government work (public domain); filtering-rate stage bands (90, 60, 45, 30, 15) and the G3a/G3b split: fact only citation; albumin-to-creatinine categories (A1 below 30, A2 30-299, A3 300 mg/g or above): fact only citation; 2021 creatinine equation: public domain. Source checked: opened. No endorsement by the cited bodies is implied.
To confirm with a clinician: three months is encoded as 90 days (the VA/DoD summary says 3 months or more).
CKD
None entered
● Supported, but entered or stated less specifically than the record supports
The note says “CKD”; the note does not give a stage. Two results 110 days apart are in the G3b range (filtering rate 38.4 on 2026-07-25 and 37.0 on 2026-11-12).
Clinician's response to the side-panel card: No response yet · offer OF-000041
Source: official ICD-10-CM FY2027 code descriptions (extract in library/data/code_reference_fy2027.json).
Extended capabilities (licence required before commercial use) 0
ⓘExtended capabilities: published criteria cited by title and restated in our own words, no text reproduced; a licence or permission is needed before commercial use.
Shown to coders always; on clinician screens only when the setting is on (now off).