Nephrology Module

2026-02-01 · 5 min

Overview

The Nephrology module supports chronic kidney disease (CKD) staging, dialysis session management (haemodialysis and peritoneal dialysis), transplant recipient follow-up, and renal-specific lab tracking with eGFR trending.

CKD Staging & Monitoring

Automatic CKD staging based on eGFR (CKD-EPI formula) and albuminuria:

• eGFR is auto-calculated whenever serum creatinine results arrive from the lab.
• CKD stage (1-5) and risk category (low/moderate/high/very high) are displayed on the patient dashboard.
• Trend charts track eGFR, creatinine, urea, potassium, calcium, phosphate, PTH, and haemoglobin over time.
• Stage-appropriate care plan reminders (e.g., nephrology referral at Stage 3b, dialysis planning at Stage 4).

Haemodialysis Management

Manage HD sessions end-to-end:

1. Schedule recurring HD sessions (e.g., MWF or TTS) with machine and shift allocation.
2. Pre-dialysis assessment: Dry weight, interdialytic weight gain, vitals, access site inspection.
3. Intra-dialysis monitoring: Hourly vitals, UF rate, blood flow rate, dialysate composition, heparin dosing.
4. Post-dialysis assessment: Post-weight, vitals, access site status, Kt/V calculation.
5. Monthly adequacy review: URR, Kt/V trending, anaemia management, mineral bone disease parameters.

The dialysis flowsheet is optimised for nurses to document quickly during sessions.

Peritoneal Dialysis

For PD patients:

• CAPD exchange logging: Fill volume, dwell time, drain volume, effluent appearance for each exchange.
• APD machine data import (where supported).
• PET (Peritoneal Equilibration Test) recording and transport category classification.
• Peritonitis episode documentation with culture results and antibiotic protocol tracking.
• Monthly adequacy assessment: Weekly Kt/V, creatinine clearance, residual renal function.

Transplant Follow-Up

Post-transplant care tracking:

• Immunosuppression medication management with drug levels (tacrolimus, cyclosporine, mycophenolate).
• Graft function monitoring: Creatinine trends, protocol biopsy scheduling.
• Rejection episode documentation: Biopsy findings (Banff classification), treatment protocol.
• Infection screening schedule: CMV, BK virus, TB screening.
• Long-term complication tracking: PTDM, cardiovascular risk, malignancy screening.

Vascular Access Management

Track dialysis access:

• Access type: AVF, AVG, permanent catheter, temporary catheter.
• Creation date, maturation assessment, first cannulation date.
• Access complications: Stenosis, thrombosis, infection, aneurysm.
• Surveillance: Flow measurements, access recirculation, physical examination findings.
• Intervention history: Angioplasty, thrombectomy, revision, new access creation.

Notes

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