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DiraChart Clinical Reference
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EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.
.HF_DAILY HF recovery: weight {##} lb (vs {prior}/target {##}), edema {grade/site vs prior}, lungs {findings}, JVD {y/n}, S3 {y/n}, orthopnea {y/n}. BP {##}/{##}, HR {##} within GDMT parameters; {agents} tolerated. Sodium/fluid observed. Skilled daily volume/GDMT assessment required. Supports Section N/K; HF goal {###}. |
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.HF_DECOMP Decompensation: weight {gain ##}, edema {grade}, crackles {y}, JVD {y}, S3 {y}, {orthopnea/dyspnea}. Parameter-based diuretic applied → {response}. SBAR {time}; higher dose + BMP/BNP ordered; dose witnessed; representative notified {time}. Reassess {when}. Supports Section N. |
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.HF_GDMT GDMT titration: {agent} {increased/held} per parameters; BP {##}/{##}, HR {##}, K {##}, Cr {##}. Tolerance {status}. Teaching (weights/sodium/symptom-action) teach-back {##}%. Supports Section N; HF goal {###}. |
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