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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.
.CV_HF HF recovery: weight {##} lb (vs {prior}/target {##}), edema {grade/site} (vs {prior}), lungs {findings}, BP {##}/{##} within parameters, {orthostatic sx}. Correlated with diuretic/sodium order. Skilled volume assessment required daily. Supports Section N/K; cardiac goal {###}. |
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.CV_RHYTHM Rhythm: apical {##} {regular/irregular}, radial {##} (deficit {##}), BP {##}/{##}, {symptoms}. {Held dose/parameter action}. SBAR to {provider}; {ECG/rate-control orders}; anticoagulation reviewed. Reassess {when}. Supports Section N. |
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.CV_POSTPROC Post-{procedure} recovery: apical {##} {regular}, BP {##}/{##}, access site {status}, no chest discomfort, activity {tolerance}. Cardiac + anticoagulant regimen monitored. Skilled observation required. Supports Section N. |
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