External Genitalia

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Trace DC37-25

DiraChart Clinical Reference
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1. Purpose and clinical relevance

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19. Sources and clinical references

MASTER-level citations, current as of the version date. Companies and agencies may append local policy. Verify the current edition at use; CHAP is agency-fill.

  • Wound, Ostomy and Continence Nurses Society (WOCN) guidance on incontinence-associated dermatitis and moisture-associated skin damage, and its differentiation from pressure injury (verify current edition).
  • EPUAP/NPIAP/PPPIA 2019 — Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline (cross-reference Wounds).
  • Clinical guidance on Fournier’s gangrene as a surgical emergency (verify current source; cross-reference Male & Female Reproductive).
  • CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 7 — Home Health Services. Observation and assessment, skilled procedures, and teaching and training.
  • 42 CFR Part 484 — Conditions of Participation for Home Health Agencies; comprehensive assessment, care planning, and patient dignity and privacy.
  • CMS OASIS-E2 Guidance Manual, effective April 1, 2026 — relevant integumentary and genitourinary items.
  • Community Health Accreditation Partner (CHAP) Standards of Excellence for Home Health. [Agency-fill: insert exact title, version, section, and date.]
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