b b b b b b b
Edition by Debra D Sullivan
b b b b b
Clinical
b
Documentation
b
b
Debra D. Sullivan, PhD, RN, PA-C
b b b b b
Lead Advanced Practice Provider
b b b
Academic Urology and Urogynecology of Arizona
b b b b b
Litchfield Park, AZ
b b b
Owner, Sullivan Consulting Services
b b b
Medicolegal Consulting
b b
Glendale, AZ b
,F. bA. bDavis bCompany
b1915 bArch bStreet
Philadelphia, bPA b19103
bwww.fadavis.com
Copyright b © b 2019 b by b F. bA. bDavis b Company
Copyright b© b2019 bby bF. bA. bDavis bCompany. bAll brights breserved. bŁis bproduct bis bprotected bby bcopyright. bNo bpart bof bit bmay bbe
breproduced, bstored bin ba bretrieval bsystem, bor btransmitted bin bany bform bor bby bany bmeans, belectronic, bmechanical, bphotocopying,
brecording, bor botherwise, bwithout bwritten bpermission bfrom bthe bpublisher.
Printed bin bthe bUnited bStates bof bAmerica
Last bdigit bindicates bprint bnumber: b10 b9 b8 b7 b6 b5 b4 b3 b2 b1
Senior bAcquisitions bEditor: bMelissa bA. bDuffield
bDirector bof bContent bDevelopment: bGeorge bW. bLang
bDevelopmental bEditor: bStephanie bKelly
Art band bDesign bManager: bCarolyn b O’Brien
Content bProject bManager: bMegan bSuermann
As bnew bscientific binformation bbecomes bavailable bthrough bbasic band bclinical bresearch, brecommended btreatments band bdrug btherapies
bundergo bchanges. bŁe bauthor(s) band bpublisher bhave bdone beverything bpossible bto bmake bthis bbook baccurate, bup bto bdate, band bin baccord bwith
baccepted bstandards bat bthe btime bof bpublication. bŁe bauthor(s), beditors, band bpublisher bare bnot bresponsible bfor berrors bor bomissions bor bfor
bconsequences bfrom bapplication bof bthe bbook, band bmake bno bwarranty, bexpressed bor bimplied, bin bregard bto bthe bcontents bof bthe bbook. bAny
bpractice bdescribed bin bthis bbook bshould bbe bapplied bby bthe breader bin baccordance bwith bprofessional bstandards bof bcare bused bin bregard bto bthe
bunique bcircumstances bthat bmay bapply bin beach bsituation. bŁe breader bis badvised balways bto bcheck bproduct binformation b(package binserts) bfor
bchanges band bnew binformation bregarding bdose band bcontraindications bbefore badministering bany bdrug. bCaution bis bespecially burged bwhen
busing bnew bor binfrequently bordered bdrugs.
Library b of b Congress b Cataloging-in-Publication b Data
Names: b Sullivan, bDebra b D., bauthor.
Title: b Guide b to b clinical b documentation/Debra b D. bSullivan.
Description: bŁird bedition. b| bPhiladelphia: bF.A. bDavis bCompany, b[2019] b|
bIncludes bbibliographical breferences band bindex.
Identifiers: bLCCN b2018019472 b(print) b| bLCCN b2018019898 b(ebook) b| bISBN
b9780803669994 b| bISBN b9780803666627 b(pbk.)
Subjects: b| bMESH: bForms band bRecords bControl--methods b|
bMedical bRecords--standards
Classification: bLCC bR697.P45 b(ebook) b| bLCC bR697.P45 b(print) b| bNLM bW b80 b|
bDDC b651.5/04261--dc23
LC b record b available b at b https://lccn.loc.gov/2018019472
Authorization bto bphotocopy bitems bfor binternal bor bpersonal buse, bor bthe binternal bor bpersonal buse bof bspecific bclients, bis bgranted bby bF. bA.
bDavis bCompany bfor busers bregistered bwith bthe bCopyright bClearance bCenter b(CCC) bTransactional bReporting bService, bprovided bthat bthe bfee
bof b$.25 bper bcopy bis bpaid bdirectly bto bCCC, b222 bRosewood bDrive, bDanvers, bMA b01923. bFor bthose borganizations bthat bhave bbeen bgranted ba
bphotocopy blicense bby bCCC, ba bseparate bsystem bof bpayment bhas bbeen barranged. bŁe bfee bcode bfor busers bof bthe bTransactional bReporting
bService bis:
978-0-8036-6662-7/18 b0 b+ b$.25.
, Dedication
When I think back to 2004, when the first edition of this book
b b b b b b b b b b b b
b was published, I think of a wonderful group of friends who
b b b b b b b b b b
b were there to celebrate with me. As I anticipate the publication
b b b b b b b b b b
b of the third edition, almost all of those same wonderful friends
b b b b b b b b b b
b are still here, encouraging and supporting me, and cheering me
b b b b b b b b b
b on to the finish line. Sadly, my dear friend Candy left us much
b b b b b b b b b b b b
b too soon, and I miss her sweet presence more than words can
b b b b b b b b b b b
b say. 7e essence of her heart and soul is with me always. For
b b b b b b b b b b b b
b the remaining STUB-C friends (Kent, Donna, Paige, Jeff,
b b b b b b b
b John, Brianna, Justin, Tim, Carla, and Jeff ), thanks for your
b b b b b b b b b b
b friendship, your love, and your constancy in my life through
b b b b b b b b b
b the past two decades. I couldn’t ask for a better group of people
b b b b b b b b b b b b
b to share life with! I hope there are many more decades to come!
b b b b b b b b b b b b
Not only have I been blessed with these incredible friends, but I
b b b b b b b b b b b
am fortunate to have the most loving, caring, and supportive
b b b b b b b b b b
b husband any woman could hope for. Greg is an unwavering
b b b b b b b b b
b source of encouragement and inspires and challenges me to be
b b b b b b b b b
b the best I can be. He has stood beside me without complaint
b b b b b b b b b b b
b through the days of writer’s block, looming deadlines,
b b b b b b b
b malfunctioning computers, and the often-self-imposed frenzy b b b b b
b of my world. He has the insight to know when to cheer me on,
b b b b b b b b b b b b b
b when to make me take a break, and when to give me space. I
b b b b b b b b b b b b b
b am so grateful for his calming influence, his ability to make
b b b b b b b b b b
b me laugh and not take myself too seriously, and all he does
b b b b b b b b b b b
to keep things running smoothly in the Sullivan household.
b b b b b b b b
b 7anks, Greg, for all this, and so much more. And I promise...
b b b b b b b b b b b
b no fourth edition!
b b
Copyright b © b 2019 b by bF. bA. bDavis b Company. bAll b rights
reserved.