General Section
DIRACHART — SKILLED DOCUMENTATION · NURSING HOMES (DGEX-SNF)
DiraChart Clinical Reference · Read-only reference edition
Clinical Reference · 3.6
Dialysis / ESRD — Disease Overlay
Disease-specific skilled documentation for the dialysis-dependent Part A stay — hemodialysis and peritoneal-dialysis coordination, access care and protection, the dry-weight and fluid-electrolyte balance between sessions, post-dialysis assessment, and dialysis-related complications. Layers on the Genitourinary/Renal reference. The dialysis resident is medically complex and a strong skilled candidate.
Module code | SNF-OV-HD |
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Version | 1.0 · Population: Adult · DiraChart reference edition |
Used alongside | Genitourinary/Renal (base) · Cardiovascular · Vital Signs · Nutrition (renal diet) · Anticoagulation overlay · Skilled-Daily |
MDS section(s) | O0110 (dialysis) · N (medications) · K (renal diet) · I (ESRD) |
Skilled category (Ch. 8) | Observation & assessment of an unstable fluid-electrolyte/access status · covered skilled procedures (access care; peritoneal-dialysis exchanges) · management & evaluation · teaching |
Regulatory note | Coverage: Pub. 100-02 Ch. 8. Dialysis reference: F698 — secondary to the coverage analysis. |
How to use this module This is a disease OVERLAY: it layers disease-specific skilled documentation on top of the body-system reference named below. Use it with that system module, not instead of it. Every model note is a scaffold to edit to the shift and the resident’s orders; the universal writing rules live in Foundations and are not reprinted. Verify parameters and citations against the current source. |
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