Denial Patterns

Printing and PDF export are disabled for this protected preview. Continue reading inside the DiraChart reader.

Trace DC40-7

DiraChart Clinical Reference
Protected section 7 of 11
← Document menu
Home Care · DiraChart

5.1 “WNL” alone

DiraChart Clinical Reference

Section NavigationPart 7 of 11PreviousNext

Reference to “baseline” with no value

  • Fails: “Stable from baseline” or “unchanged from baseline.” A covering nurse cannot know the baseline, and neither can the auditor.
  • Survives: The actual value with its objective reference — e.g. “BP 124/76 (vs 128/74 last visit); weight 178 lb (vs 178, ±0),” or “glucose 96, within the ordered 80–180.”
Section NavigationPart 7 of 11PreviousNext