EMR dot-phrases; replace merge fields in braces. These supplement — not duplicate — the clinical-reference and overlay smart phrases.
.SNF_DAILY
Skilled {service} this shift: {finding vs ordered/prior}; outcome {##}→{##}. Licensed judgment required to {reason} given {dx}; daily SNF-level need (practical matter). Supports MDS {O/N/GG/M/J/K}; care-plan goal {###}. Reassess {when}.
.SNF_OBS
Skilled observation & assessment of {condition}: {objective findings vs prior}; potential for {change} requires daily licensed surveillance available only at SNF level. No change / {change} — {action}. Supports Section {O}.
.SNF_MANAGE
Skilled management & evaluation of {n}-problem plan: reconciled {regimen}, correlated {finding} to {order}, verified carryover of {unskilled care}. Complexity requires daily RN oversight at SNF level. Care-plan problems {###}.
Skilled teaching of {topic} to {resident/family/CNA}; method {return-demo/teach-back}; mastery {##}%; reinforcement {plan}. Instruction to competence — covered skilled service. Care-plan {discharge/education} goal.
.SNF_COORD
Provider notified {time} re {finding/parameter}; reported {SBAR}; order {details}; representative notified {time}; response {response}; reassess {when}. SCSA {yes/no}.
.SNF_NECESSITY
Skilled nursing required today to {skilled action} for {licensed reason} given {dx}, resulting in {measurable effect} — daily need met only in this SNF (practical matter).
.SNF_MDS
Supports MDS Section {O/N/GG/M/J/K} (data: {value}); note and MDS agree (F641); advances care-plan Problem #{##} (goal: {###}).