General Section
DIRACHART — SKILLED DOCUMENTATION · NURSING HOMES (DGEX-SNF)
DiraChart Clinical Reference · Read-only reference edition
Clinical Reference · 2.35
Lymphatic System
Skilled documentation when the lymphatic system is the reason for or a factor in a Part A stay — lymphedema management and compression, post-lymph-node-dissection care, and cellulitis in a lymphedematous limb. A lymphedematous limb is at high infection risk, and skilled compression and measurement are covered services. Wound and vascular detail route to Skin and Peripheral Vascular.
Module code | SNF-LYMPH |
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Version | 1.0 · Population: Adult · DiraChart reference edition |
Used alongside | Peripheral Vascular · Skin · Musculoskeletal (post-node-dissection) · Skilled-Daily · Sepsis overlay |
MDS section(s) | M (if skin breakdown) · I (lymphedema; lymphatic diagnoses; recent node dissection) |
Skilled category (Ch. 8) | Covered skilled procedures (compression therapy; complex lymphedema/skin care) · observation & assessment of an unstable lymphatic/infection status · teaching |
Regulatory note | Coverage: Pub. 100-02 Ch. 8. Quality-of-care and skin references: F684/F686 — secondary to the coverage analysis. |
How to use this module Fill every model note and smart phrase with the shift’s actual values and the resident’s current orders — these are structured examples to edit, never phrases to copy. The universal writing rules in Foundations (the necessity sentence, quantified outcomes, teach-back, closed-loop coordination, MDS-supportive documentation, and care-plan linkage) apply throughout and are not reprinted here. Disease-specific days route to the overlays. Verify each threshold and citation against the current source before use. |
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