2728 Forms, Acute (AKI) and Recovered Function

Modified on Thu, Dec 7, 2023 at 10:52 PM

Updated 12/7/2023


Only ESRD patients should be entered into EQRS. 

Only ESRD patients need 2728 Forms.


Patients diagnosed as Acute (AKI): 

  • should not be entered into EQRS
  • do not need 2728 Forms


Whether a 2728 Form is needed is based on the Discharge Reason:

  • Need 2728 Form: Recovered Function of Native Kidney
  • Do NOT Need 2728 Form: Acute

If an Acute patient is accidentally entered into EQRS:

  1. Admit Reason should be New ESRD
  2. Discharge Reason should be Acute
  3. Use the earliest Discharge Date possible
  4. Delete the 2728 Form


If an Acute patient becomes ESRD at a later time:

  • Admit as 'New ESRD' on the Date they started treatment as an ESRD patient.
  • Add treatment that matches the NEW Admit Date
  • Complete the 2728 Form using the CORRECT DATES:
    • DO use the first treatment date after the MD diagnoses patient as ESRD (end stage renal disease) and no longer Acute.
    • DO NOT use the date the patient started treatment for AKI as the “Date of First Chronic Dialysis.”
    • Do NOT use any Acute (AKI) data.


  • Request Network assistance to modify the 2728 Form (if a prior 2728 has been submitted)


IMPORTANT: If patient receives a kidney transplant, they are always going to be ESRD, NOT Acute (AKI).


For instructions on admitting a patient after a kidney transplant: https://help.esrd.ipro.org/support/solutions/articles/9000218446-dialysis-admission-after-a-transplant

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