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3rdEdition by Debra D Sullivan
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GUIDE
Clinical
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Documentatio
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n
T H IR D
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Debra D. Sullivan, PhD, RN, PA-C zz zz zz zz zz
Lead Advanced Practicez Provider
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Academic Urology and Urogynecology of z z z z z z z z
Arizona Litchfield Park, AZ
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Owner, Sullivan Consulting z z z z
Services Medicolegal Consulting
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Glendale, AZ z z
,F. A. Davis Company
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1915 Arch Street
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Philadelphia, PA
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19103www.fadavis.co
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Copyright © 2019 by F. A. Davis Company zz zz zz zz zz zz zz
Copyright © 2019 by F. A. Davis Company. All rights reserved. Łis product is protected by copyright. No part of it may be
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reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying,
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recording, or otherwise,without written permission from the publisher.
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Printed in the United States of America
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Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
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Senior Acquisitions Editor: Melissa A. Duffield
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Director of Content Development: George W.
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LangDevelopmental Editor: Stephanie Kelly
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Art and Design Manager: Carolyn O’Brien
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Content Project Manager: Megan Suermann
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As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies
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undergo changes. Łe author(s) and publisher have done everything possible to make this book accurate, up to date, and in
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accord with accepted standards at the time of publication. Łe author(s), editors, and publisher are not responsible for errors
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or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the
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contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards
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of care used in regard to the unique circumstances that may apply in each situation. Łe reader is advised always to check product
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information (package inserts) for changes and new information regarding dose and contraindications before administering any drug.
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Caution is especially urged when using new or infrequently ordered drugs.
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Library of Congress Cataloging-in-Publication Data
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Names: Sullivan, Debra D., author. zz zz zz zz
Title: Guide to clinical documentation/Debra D. Sullivan.
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Description: Łird edition. | Philadelphia: F.A. Davis Company, [2019] | zz zz zz zz zz zz zz zz zz
Includes bibliographical references and index.
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Identifiers: LCCN 2018019472 (print) | LCCN 2018019898 (ebook) | zz zz zz zz zz zz zz zz
ISBN9780803669994 | ISBN 9780803666627 (pbk.)
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Subjects: | MESH: Forms and Records Control--methods | zz zz zz zz zz zz zz
MedicalRecords--standards
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Classification: LCC R697.P45 (ebook) | LCC R697.P45 (print) | NLM W 80 | zz zz zz zz zz zz zz zz zz zz zz zz
DDC651.5/04261--dc23
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LC record available at https://lccn.loc.gov/2018019472
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Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A.
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Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the
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fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been
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granted a photocopy license by CCC, a separate system of payment has been arranged. Łe fee code for users of the Transactional
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Reporting Service is:
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978-0-8036-6662-7/18 0 + $.25. zz zz zz
, Dedication
When I think back to 2004, when the first edition of this book
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zz was published, I think of a wonderful group of friends who
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zz were there to celebrate with me. As I anticipate the
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publicationof the third edition, almost all of those same
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zz wonderful friendsare still here, encouraging and supporting zz z zz zz zz zz zz
zz me, and cheering meon to the finish line. Sadly, my dear
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zz friend Candy left us muchtoo soon, and I miss her sweet
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zz presence more than words can say.7e essence of her heart and
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zz soul is with me always. For the remaining STUB-C friends
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zz (Kent, Donna, Paige, Jeff, John, Brianna, Justin, Tim,
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zz Carla, and Jeff ), thanks for your friendship, your love, and
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zz your constancy in my life through the past two decades. I
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zz couldn’t ask for a better group of people to share life with! I
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zz hope there are many more decades to come!
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Not only have I been blessed with these incredible friends,
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zz butI am fortunate to have the most loving, caring, and
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zz supportivehusband any woman could hope for. Greg is an z zz zz zz zz zz zz zz zz
zz unwavering source of encouragement and inspires and zz zz zz zz zz zz
zz challenges me to be the best I can be. He has stood beside me zz zz zz zz zz zz zz zz zz zz zz zz zz
zz without complaint through the days of writer’s block, looming
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zz deadlines, malfunctioning computers, and the often-self- zz zz zz zz zz
imposed frenzy of my world. He has the insight to know when
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zz to cheer me on,when to make me take a break, and when to
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zz give me space. I am so grateful for his calming influence, his
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zz ability to make me laugh and not take myself too seriously,
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zz and all he does zz zz zz
to keep things running smoothly in the Sullivan household.
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zz 7anks, Greg, for all this, and so much more. And I
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Copyright © 2019 by F. A. Davis Company. All rights zz zz zz zz zz zz zz zz zz iii
reserved.
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