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    <title>Guide to clinical documentation</title>
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    <namePart>Sullivan, Debra D.</namePart>
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    <dateIssued encoding="marc">2012</dateIssued>
    <edition>Second edition</edition>
    <issuance>monographic</issuance>
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  <abstract>Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.</abstract>
  <tableOfContents>Medicolegal principles of documentation -- The comprehensive history and physical examination -- Adult preventive care visits -- Pediatric preventive care visits -- SOAP notes -- Outpatient charting and communications -- Admitting a patient to the hospital -- Documenting daily rounds and other events -- Discharging patients from the hospital -- Prescription writing and electronic prescribing.</tableOfContents>
  <note type="statement of responsibility">Debra D. Sullivan.</note>
  <note>Rev. ed. of: Documentation for physician assistants / Debra D. Sullivan, Lynnette J. Mattingly. c2004.</note>
  <note>Includes bibliographical references (p. 277-282) and index.</note>
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    <topic>methods</topic>
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  <subject authority="mesh">
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    <topic>standards</topic>
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      <edition>2nd ed.</edition>
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