Annual Urine-Albumin Auto-Attach for Diabetes Labs

An EHR automation that automatically adds the annual urine-albumin kidney test to routine diabetes lab orders when it is more than about 11 months overdue, so the one screening test that needs a separate urine sample stops getting skipped. The test is pre-attached as a removable default rather than a pop-up alert, and fires at most once per patient per year to keep clinician alert burden near zero. The tool claims to close the detection gap only — producing the albuminuria result — not to fix downstream kidney-disease care.