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[PDF] Documentation Dissection

CHIEF COMPLAINT: Here to discuss radiation therapy for her breast cancer. PERTINENT HISTORY: The patient is a healthy 27-year-old white female with a strong ...

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[PDF] Neoplasms - Documentation and Reporting

In metastatic cancer document and report both the primary site (original site of the neoplasm) and secondary site (the site the neoplasm has metastasized to).

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