Nutrition Weight Dysphagia

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Trace DC48-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.NUTR_WEIGHT

Weight {##} lb (vs {prior}); change {##}% over {days} — {below/above} K0300 threshold. Intake avg {##}% on {diet/IDDSI level}. Hydration {status}. Supports Section K; nutrition goal {###}.

.NUTR_DYSPHAGIA

Swallowing: {coughing/pocketing/wet voice/none} at meals. Aspiration precautions: {upright, small bites, chin tuck, thickened}. Diet {texture/IDDSI}. {Swallow eval status}. Supports Section K.

.NUTR_ENTERAL

Enteral feed {formula} at {rate}; residual {ml} (within policy); tolerance {status}; {site} clean, no leakage; free-water flushes {ml} per order. Supports Section K feeding-tube item. Reassess {when}.

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