General Section
DIRACHART — SKILLED DOCUMENTATION · NURSING HOMES (DGEX-SNF)
DiraChart Clinical Reference · Read-only reference edition
Clinical Reference · 2.19
Peripheral Vascular System
Skilled peripheral-vascular documentation for the Part A day — peripheral arterial disease, deep-vein thrombosis, chronic venous insufficiency and venous/arterial ulcers, edema, and compression therapy. Proves the skilled vascular assessment, DVT surveillance, and compression/perfusion management that an unstable vascular course requires daily. Wound care detail routes to Skin.
Module code | SNF-PV |
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Version | 1.0 · Population: Adult · DiraChart reference edition |
Used alongside | Skin (vascular ulcers) · Cardiovascular · Musculoskeletal (post-op DVT) · Skilled-Daily · Anticoagulation overlay |
MDS section(s) | M (vascular ulcers) · N (anticoagulant) · J (edema; pain) · I (PVD, DVT, venous insufficiency) |
Skilled category (Ch. 8) | Observation & assessment of an unstable vascular status · covered skilled procedures (compression therapy; complex vascular-ulcer care) · teaching · management & evaluation |
Regulatory note | Coverage: Pub. 100-02 Ch. 8. Skin/quality reference: F686 (vascular ulcers) — 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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