Nutrition Weight Dysphagia

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DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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12. Sources and clinical references

  • 42 CFR 483 §483.25(g) (nutrition/hydration) with State Operations Manual Appendix PP F692; F693; F684.
  • CMS MDS 3.0 RAI User’s Manual v1.20.1 (eff. 1 Oct 2025), Section K (weight loss/gain refined in v1.20.1; nutritional approaches).
  • IDDSI (International Dysphagia Diet Standardisation Initiative) framework where adopted; Academy of Nutrition and Dietetics guidance (verify edition).
  • CMS Pub. 100-02 Chapter 8 (enteral feeding as a covered skilled service). DiraChart Foundations 1.1–1.11.

Standing flags. Model notes are scaffolds — fill with the shift’s actual values and confirm every threshold against current orders and the care plan. Coverage rules, MDS item sets, and F-tag guidance change; verify against the current published source. MAC/LCD and accreditation items are facility-fill.

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