Robert S. Hodges, BSN, MSN, RN, Clinical Documentation Improvement Specialist at Aleda E. Lutz VAMC in Saginaw, MI, offers the following sample standard operating procedure (SOP) for physician queries. It outlines basic definations of reportable conditions,...

This attached form includes a clarification request for tamponade, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist for Columbus...

This attached form includes a clarification request for sepsis, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist for Columbus...

This attached form includes a clarification request for respiratory failure, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist for...

This attached form includes a clarification request for HTN (hypertension, heart and kidney), including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation...

This attached form includes a clarification request for congestive heart failure (CHF), including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation...

This attached form includes a clarification request for stages of renal failure, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist...

This attached form includes a clarification request for myocardial infarction (MI), including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation...

This attached form includes a clarification request for malnutrition, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist for Columbus...

This attached form includes a clarification request for cardiogenic shock, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.

This is courtesy of Sandy Beatty, clincial documentation specialist for...

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