Guide to clinical documentation /
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Main Author: | |
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Format: | Book |
Language: | English |
Published: |
Philadelphia :
F.A. Davis Co.,
2012
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Edition: | 2nd ed. |
Subjects: |
Table of Contents:
- 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.