The same rule run across every chart the practice has

The rules that find one open finding in one chart run across all of them. Patients whose records already meet a documented criterion without the step that follows, listed with what is still to confirm. Nothing leaves the practice.

Step 1
Your practice · 143 charts connected · nothing leaves the practice
Which of our patients meet a criterion in their record without the step that follows?
Finished thinking

143 charts checked against four documented rules

Candidate list

Criteria met, step not taken

Your practice · 16 September 2026 · Signed, in the chart

What the rules found

  • 9patientsTwo eGFR values between 30 and 59, more than 90 days apart, no chronic kidney disease in the chartThe criterion for stage 3 is two qualifying values, not one.Confirm the second value and the interval before coding
  • 6patientsThree or more antihypertensives and repeated hypokalaemia, no aldosterone-to-renin ratioGuidelines name this constellation as an indication to screen for primary aldosteronism.
  • 4patientsLDL above 190 mg/dl on two reports, no assessment for familial hypercholesterolaemiaThe Dutch Lipid Clinic Network score needs the LDL course, the medication, the age and the family history, all of which are in the chart.
  • 12patientsAge, AST, ALT and platelets all present, FIB-4 never calculatedThe score needs no new test.

What this list is not

  • It is not a diagnosisEvery line says which criterion the record meets, not what the patient has.
  • It is not a predictionNo model is guessing. The rules are the ones the guidelines state.
  • Nothing left the practiceThe charts were read where they are.

Every chart the practice has connected was checked against four documented criteria. A patient appears here only when the data behind the criterion is already in her record.

Open the candidate listSee the full response

Step 2
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl · 14 documents, read 16 September 2026
Which findings are still open?

Answered on 16 September 2026

Finished thinking
  • Lipoprotein(a) never measured. Recommended once in every adult by ESC 2021 and the EAS consensus, and relevant here because of the family history; discussed in May, not ordered. Visit 12.05.2026 Eur Heart J + 1
  • Statin question unresolved since March 2024. Simvastatin was stopped for myalgia; no rechallenge, no alternative, LDL now 162 mg/dl. Visit 14.03.2024 Lab 08.05.2026 Eur Heart J
  • HbA1c rising (5.6 → 5.9 %) without a documented plan. ADA: prediabetes calls for a structured lifestyle programme and at least yearly re-testing. Lab 08.05.2026 Lab 02.11.2023 Diabetes Care
  • Mild steatosis and ALT 41 U/l without a follow-up plan. EASL-EASD-EASO recommends a FIB-4 in patients with steatosis and metabolic risk factors; it can be computed from the May values. Ultrasound 12.05.2026 Lab 08.05.2026 J Hepatol
  • Tetanus-diphtheria booster overdue (last 2015, ten-year interval). Impfpass 2015 STIKO
See the full response