Clinical validation

need help with formulating query.  Have diagnosis of acute on chronic diastolic heart failure listed throughout chart.  I do have supporting documentation for the diagnosis chest x-ray,  BNP.   The problem I am having with this chart is patient was never treated with any diuretics PO or IV.  
We have formatted queries that we use at our facility and I am not able to find one that I feel  fits this.  
I looked at the clinical validation,  ruled in/out diagnosis.  
Any help would be appreciated. 

Comments

  • I would use Clarification of Clinical Findings or Clinical Validity template stating:  The medical record consistently documents the diagnosis of acute on chronic diastolic heart failure with chest x-ray showing ______ and BNP of ____. (also list any additional findings of rales, edema, weight gain, pleural effusion, pulmonary edema, DOE, …)

    Question to Physician: Please clarify the treatment provided for your patient’s acute on chronic diastolic heart failure.

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