,GUIDE TO
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6s
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Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany
Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany.6sAll6srights6sreserved.6sThis6sproduct6sis6sprotected6sby6scopyright.6sNo6spart6sof6sit6sma
y6sbe6sreproduced,6sstored6sin6sa6sretrieval6ssystem,6sor6stransmitted6sin6sany6sform6sor6sby6sany6smeans,6selectronic,6smechanical,6sphotoc
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Printed6s in6s the6s United6s States6sof6s America
Last6sdigit6sindicates6sprint6snumber:6s106s96s86s76s66s56s46s36s26s1
Senior6sAcquisitions6sEditor:6sMelissa6sA.6sDuffield6s
Director6sof6sContent6sDevelopment:6sGeorge6sW.6sLang6
sDevelopmental6sEditor:6sStephanie6sKelly
Art6sand6sDesign6sManager:6sCarolyn6sO’Brien
Content6sProject6sManager:6sMegan6sSuermann
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egard6sto6sthe6scontents6sof6sthe6sbook.6sAny6spractice6sdescribed6sin6sthis6sbook6sshould6sbe6sapplied6sby6sthe6sreader6sin6saccordance6swith6s
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ions6sbefore6sadministering6sany6sdrug.6sCaution6sis6sespecially6surged6swhen6susing6snew6sor6sinfrequently6sordered6sdrugs.
Library6s of6s Congress6s Cataloging-in-Publication6s Data
Names:6sSullivan,6sDebra6sD.,6sauthor.
Title:6sGuide6s to6s clinical6s documentation/Debra6s D.6sSullivan.
Description:6sThird6sedition.6s|6sPhiladelphia:6sF.A.6sDavis6sCompany,6s[20
19]6s|6sIncludes6sbibliographical6sreferences6sand6sindex.
Identifiers:6sLCCN6s20180194726s(print)6s|6sLCCN6s20180198986s(ebook)6s|6sISBN6s97808
036699946s|6sISBN6s97808036666276s(pbk.)
Subjects:6s|6sMESH:6sForms6sand6sRecords6sControl--
methods6s|6sMedical6sRecords--standards
Classification:6sLCC6sR697.P456s(ebook)6s|6sLCC6sR697.P456s(print)6s|6sNLM6sW6s806
s|6sDDC6 s 651.5/04261--dc23
LC6srecord6savailable6sat6shttps://lccn.loc.gov/2018019472
Authorization6sto6sphotocopy6sitems6sfor6sinternal6sor6spersonal6suse,6sor6sthe6sinternal6sor6spersonal6suse6sof6sspecific6sclients,6sis6sgrante
d6sby6sF.6sA.6sDavis6sCompany6sfor6susers6sregistered6swith6sthe6sCopyright6sClearance6sCenter6s(CCC)6sTransactional6sReporting6sServic
e,6sprovided6sthat6sthe6sfee6sof6s$.256sper6scopy6sis6spaid6sdirectly6sto6sCCC,6s2226sRosewood6sDrive,6sDanvers,6sMA6s01923.6sFor6sthose6so
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ee6scode6sfor6susers6sof6sthe6sTransactional6sReporting6sService6sis:
978-0-8036-6662-7/186s06s+6s$.25.
, Dedication
When6sI6sthink6sback6sto6s2004,6swhen6sthe6sfirst6sedition6sof6sthis6s
book6swas6spublished,6sI6sthink6sof6sa6swonderful6sgroup6sof6sfrie
nds6swho6swere6sthere6sto6scelebrate6swith6sme.6sAs6sI6santicipate6st
he6spublication6sof6sthe6sthird6sedition,6salmost6sall6sof6sthose6ssame6
swonderful6sfriends6sare6sstill6shere,6sencouraging6sand6ssupportin
g6sme,6sand6scheering6sme6son6sto6sthe6sfinish6sline.6sSadly,6smy6sdea
r6sfriend6sCandy6sleft6sus6smuch6stoo6ssoon,6sand6sI6smiss6sher6sswe
et6spresence6smore6sthan6swords6scan6ssay.6s7e6sessence6sof6sher6sh
eart6sand6ssoul6sis6swith6sme6salways.6sFor6sthe6sremaining6sSTU
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C6sfriends6s(Kent,6sDonna,6sPaige,6sJeff,6sJohn,6sBrianna,6sJust
in,6sTim,6sCarla,6sand6sJeff6s),6sthanks6sfor6syour6sfriendship,6syou
r6slove,6sand6syour6sconstancy6sin6smy6slife6sthrough6sthe6spast6stw
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are6slife6swith!6sI6shope6sthere6sare6smany6smore6sdecades6sto6scome!
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6sbut6sI6sam6sfortunate6sto6shave6sthe6smost6sloving,6scaring,6sand6ss
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hallenges6sme6sto6sbe6sthe6sbest6sI6scan6sbe.6sHe6shas6sstood6sbeside6
sme6swithout6scomplaint6sthrough6sthe6sdays6sof6swriter’s6sblock,6s
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when6sto6scheer6sme6son,6swhen6sto6smake6sme6stake6sa6sbreak,6san
d6swhen6sto6sgive6sme6sspace.6sI6sam6sso6sgrateful6sfor6shis6scalmin
g6sinfluence,6shis6sability6sto6smake
me6slaugh6sand6snot6stake6smyself6stoo6sseriously,6sand6sall6she6s
Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany.6sAll6srights6sr iii
eserved.
Clinical
6s
Documentation
THIRD EDITION
6s
6s
Debra6sD.6sSullivan,6sPhD,6sRN,6sPA-C
Lead6sAdvanced 6sPractice 6sProvider
Academic 6sUrology 6sand6sUrogynecology 6sof6sArizona 6s Litch
field 6s Park, 6s AZ
Owner,6sSullivan 6sConsulting 6sService
s 6s Medicolegal 6s Consulting
Glendale,6 s AZ
,F.6sA.6sDavis6sCompa
ny6s19156sArch6sStre
et
Philadelphia,6sPA6s191036swww.fadavis.
com
Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany
Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany.6sAll6srights6sreserved.6sThis6sproduct6sis6sprotected6sby6scopyright.6sNo6spart6sof6sit6sma
y6sbe6sreproduced,6sstored6sin6sa6sretrieval6ssystem,6sor6stransmitted6sin6sany6sform6sor6sby6sany6smeans,6selectronic,6smechanical,6sphotoc
opying,6srecording,6sor6sotherwise,6swithout6swritten6spermission6sfrom6sthe6spublisher.
Printed6s in6s the6s United6s States6sof6s America
Last6sdigit6sindicates6sprint6snumber:6s106s96s86s76s66s56s46s36s26s1
Senior6sAcquisitions6sEditor:6sMelissa6sA.6sDuffield6s
Director6sof6sContent6sDevelopment:6sGeorge6sW.6sLang6
sDevelopmental6sEditor:6sStephanie6sKelly
Art6sand6sDesign6sManager:6sCarolyn6sO’Brien
Content6sProject6sManager:6sMegan6sSuermann
As6snew6sscientific6sinformation6sbecomes6savailable6sthrough6sbasic6sand6sclinical6sresearch,6srecommended6streatments6sand6sdrug6stherapi
es6sundergo6schanges.6sThe6sauthor(s)6sand6spublisher6shave6sdone6severything6spossible6sto6smake6sthis6sbook6saccurate,6sup6sto6sdate,6sa
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professional6sstandards6sof6scare6sused6sin6sregard6sto6sthe6sunique6scircumstances6sthat6smay6sapply6sin6seach6ssituation.6sThe6sreader6sis6sadv
ised6salways6sto6scheck6sproduct6sinformation6s(package6sinserts)6sfor6schanges6sand6snew6sinformation6sregarding6sdose6sand6scontraindicat
ions6sbefore6sadministering6sany6sdrug.6sCaution6sis6sespecially6surged6swhen6susing6snew6sor6sinfrequently6sordered6sdrugs.
Library6s of6s Congress6s Cataloging-in-Publication6s Data
Names:6sSullivan,6sDebra6sD.,6sauthor.
Title:6sGuide6s to6s clinical6s documentation/Debra6s D.6sSullivan.
Description:6sThird6sedition.6s|6sPhiladelphia:6sF.A.6sDavis6sCompany,6s[20
19]6s|6sIncludes6sbibliographical6sreferences6sand6sindex.
Identifiers:6sLCCN6s20180194726s(print)6s|6sLCCN6s20180198986s(ebook)6s|6sISBN6s97808
036699946s|6sISBN6s97808036666276s(pbk.)
Subjects:6s|6sMESH:6sForms6sand6sRecords6sControl--
methods6s|6sMedical6sRecords--standards
Classification:6sLCC6sR697.P456s(ebook)6s|6sLCC6sR697.P456s(print)6s|6sNLM6sW6s806
s|6sDDC6 s 651.5/04261--dc23
LC6srecord6savailable6sat6shttps://lccn.loc.gov/2018019472
Authorization6sto6sphotocopy6sitems6sfor6sinternal6sor6spersonal6suse,6sor6sthe6sinternal6sor6spersonal6suse6sof6sspecific6sclients,6sis6sgrante
d6sby6sF.6sA.6sDavis6sCompany6sfor6susers6sregistered6swith6sthe6sCopyright6sClearance6sCenter6s(CCC)6sTransactional6sReporting6sServic
e,6sprovided6sthat6sthe6sfee6sof6s$.256sper6scopy6sis6spaid6sdirectly6sto6sCCC,6s2226sRosewood6sDrive,6sDanvers,6sMA6s01923.6sFor6sthose6so
rganizations6sthat6shave6sbeen6sgranted6sa6sphotocopy6slicense6sby6sCCC,6sa6sseparate6ssystem6sof6spayment6shas6sbeen6sarranged.6sThe6sf
ee6scode6sfor6susers6sof6sthe6sTransactional6sReporting6sService6sis:
978-0-8036-6662-7/186s06s+6s$.25.
, Dedication
When6sI6sthink6sback6sto6s2004,6swhen6sthe6sfirst6sedition6sof6sthis6s
book6swas6spublished,6sI6sthink6sof6sa6swonderful6sgroup6sof6sfrie
nds6swho6swere6sthere6sto6scelebrate6swith6sme.6sAs6sI6santicipate6st
he6spublication6sof6sthe6sthird6sedition,6salmost6sall6sof6sthose6ssame6
swonderful6sfriends6sare6sstill6shere,6sencouraging6sand6ssupportin
g6sme,6sand6scheering6sme6son6sto6sthe6sfinish6sline.6sSadly,6smy6sdea
r6sfriend6sCandy6sleft6sus6smuch6stoo6ssoon,6sand6sI6smiss6sher6sswe
et6spresence6smore6sthan6swords6scan6ssay.6s7e6sessence6sof6sher6sh
eart6sand6ssoul6sis6swith6sme6salways.6sFor6sthe6sremaining6sSTU
B-
C6sfriends6s(Kent,6sDonna,6sPaige,6sJeff,6sJohn,6sBrianna,6sJust
in,6sTim,6sCarla,6sand6sJeff6s),6sthanks6sfor6syour6sfriendship,6syou
r6slove,6sand6syour6sconstancy6sin6smy6slife6sthrough6sthe6spast6stw
o6sdecades.6sI6scouldn’t6sask6sfor6sa6sbetter6sgroup6sof6speople6sto6ssh
are6slife6swith!6sI6shope6sthere6sare6smany6smore6sdecades6sto6scome!
Not6sonly6shave6sI6sbeen6sblessed6swith6sthese6sincredible6sfriends,
6sbut6sI6sam6sfortunate6sto6shave6sthe6smost6sloving,6scaring,6sand6ss
upportive6shusband6sany6swoman6scould6shope6sfor.6sGreg6sis6sa
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hallenges6sme6sto6sbe6sthe6sbest6sI6scan6sbe.6sHe6shas6sstood6sbeside6
sme6swithout6scomplaint6sthrough6sthe6sdays6sof6swriter’s6sblock,6s
looming6sdeadlines,6smalfunctioning6scomputers,6sand6sthe6softe
n-self-
imposed6sfrenzy6sof6smy6sworld.6sHe6shas6sthe6sinsight6sto6sknow6s
when6sto6scheer6sme6son,6swhen6sto6smake6sme6stake6sa6sbreak,6san
d6swhen6sto6sgive6sme6sspace.6sI6sam6sso6sgrateful6sfor6shis6scalmin
g6sinfluence,6shis6sability6sto6smake
me6slaugh6sand6snot6stake6smyself6stoo6sseriously,6sand6sall6she6s
Copyright6s©6s20196sby6sF.6sA.6sDavis6sCompany.6sAll6srights6sr iii
eserved.
