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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.
.GG_CAPTURE Section GG usual performance ({window}): {item} — {assist level} with {device}, consistent across shifts (coded {level}). Self-care {GG0130 items}; mobility {GG0170 items}. Supports PDPM function score; ADL goal {###}. |
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.GG_CHANGE Functional {decline/improvement}: {item} {from}→{to} assist {cause}. Documented across shifts for GG0170/GG0130; provider/therapy notified; Section GG/CAA updated; care plan revised. SCSA {y/n}. |
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.GG_DEPENDENT Dependent resident ADL care: {items} provided with {assist}; skin/contracture prevention {measures}; function maintained. Supports F677 and Section GG. |
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