Heart Failure

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Trace DC66-12

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.

.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 {###}.

.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.

.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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