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CPE-003 · Chronicity
CHR-003: Single abnormal result does not confirm CKD
Single abnormal result does not confirm CKD. Evaluates kidney abnormality detected is true.
Condition
- All of:
- kidney abnormality detected == true
- chronicity evidence == absent
- acute process possible != true
What it reports
- Chronicity status: unconfirmed
- Analysis status: kidney abnormality unconfirmed
- Message: Single abnormal result; CKD is not confirmed. Repeat/confirm as clinically appropriate and assess acute/transient causes.
Evidence
- R1KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Disease: Improving Global Outcomes (KDIGO), 2024.Supports: CKD definition and chronicity CGA classification albuminuria confirmation risk prediction referral medication stewardship progression monitoring
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
CKD-FX-003
Single reduced eGFR without chronicity
Single reduced eGFR without chronicity
CKD-FX-008
Active glomerular disease red flag
Active glomerular disease red flag
CKD-FX-012
Metformin contraindication threshold
Metformin contraindication threshold
CKD-FX-014
Possible monoclonal protein-related kidney disease
Possible monoclonal protein-related kidney disease
CKD-FX-017
UACR positive random sample requires confirmation
UACR positive random sample requires confirmation
CKD-FX-018
Transient UACR confounder
Transient UACR confounder
CKD-FX-019
Possible obstructive kidney process
Possible obstructive kidney process
CKD-EX-13
Metformin in the eGFR 30–44 review zone
eGFR 38 on metformin.
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