General Section
DIRACHART — SKILLED DOCUMENTATION · NURSING HOMES (DGEX-SNF)
DiraChart Clinical Reference · Read-only reference edition
Clinical Reference · 2.40
External Genitalia & Perineum
Skilled documentation of the perineum and external genitalia for the Part A day — moisture-associated dermatitis and skin breakdown in the incontinent or dependent resident, complex perineal wounds, catheter-associated genital care, and surveillance for Fournier gangrene. The incontinent, immobile resident is at high risk for perineal breakdown, and complex perineal skin/wound care is a covered skilled service. Wound staging detail routes to Skin.
Module code | SNF-GENITALIA |
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Version | 1.0 · Population: Adult · DiraChart reference edition |
Used alongside | Skin · Continence/Catheter/UTI · Male/Female Reproductive · Skilled-Daily · Sepsis overlay |
MDS section(s) | M (perineal skin / moisture-associated dermatitis / wounds) · H (incontinence) · I (relevant diagnoses) |
Skilled category (Ch. 8) | Covered skilled procedures (complex perineal skin and wound care) · observation & assessment of perineal breakdown/infection · teaching |
Regulatory note | Coverage: Pub. 100-02 Ch. 8. Skin/quality references: F686/F684 — 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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