,TestBankforGuidetoClinical Documentation 3rd Edi tio
/ / / / / / / / /
n by Debra D Sullivan
/ / / /
GUIDE TO
ClinicalDocumenta
/
tion
THIRD / EDITION
Debra/D./Sullivan,/PhD,/RN,/PA-C
Lead/ Advanced/ Practice/ Provider
Academic/Urology/and/Urogynecology/of/Arizona/Lit
chfield/Park,/AZ
Owner,/Sullivan/ Consulting/Services/M/
edicolegal/Consulting
Glendale,/ AZ
,F./A./Davis/Company/
1915/ Arch/ Street
Philadelphia,/ PA/ 1910
3/ www.fadavis.com
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company./ All/ rights/ reserved./ Łis/ product/ is/ protected/ by/ copyright./ No/ part/ of/ it/ may/ b/
e/ reproduced,/ stored/ in/ a/ retrieval/ system,/ or/ transmitted/ in/ any/ form/ or/ by/ any/ means,/ electronic,/ mechanical,/ photocopying
,/ recording,/ or/ otherwise,/ without/ written/ permission/ from/ the/ publisher./Pri
nted/ in/ the/ United/ States/ of/ America
Last/ digit/ indicates/ print/ number:/ 10/ 9/ 8/ 7/ 6/ 5/ 4/ 3/ 2/ 1
Senior/Acquisitions/Editor:/Melissa/A./Duffield/Dir/ect
or/of/Content/Development:/George/W./Lang/Deve/lop
mental/ Editor:/ Stephanie/ Kelly
Art/ and/ Design/ Manager:/ Carolyn/ O’Brien
Content/ Project/ Manager:/ Megan/ Suermann
As/ new/ scientific/ information/ becomes/ available/ through/ basic/ and/ clinical/ research,/ recommended/ treatments/ and/ drug/ therapies/
undergo/ changes./ Łe/ author(s)/ and/ publisher/ have/ done/ everything/ possible/ to/ make/ this/ book/ accurate,/ up/ to/ date,/ and/ in/ acc/o
rd/ with/ accepted/ standards/ at/ the/ time/ of/ publication./ Łe/ author(s),/ editors,/ and/ publisher/ are/ not/ responsible/ for/ errors/ or/ omi/ss
ions/ or/ for/ consequences/ from/ application/ of/ the/ book,/ and/ make/ no/ warranty,/ expressed/ or/ implied,/ in/ regard/ to/ the/ contents/of
/ the/ book./ Any/ practice/ described/ in/ this/ book/ should/ be/ applied/ by/ the/ reader/ in/ accordance/ with/ professional/ standards/ of/care
/ used/ in/ regard/ to/ the/ unique/ circumstances/ that/ may/ apply/ in/ each/ situation./ Łe/ reader/ is/ advised/ always/ to/ check/ product/infor
mation/ (package/ inserts)/ for/ changes/ and/ new/ information/ regarding/ dose/ and/ contraindications/ before/ administering/ any/ dr/ug./ C
aution/ is/ especially/ urged/ when/ using/ new/ or/ infrequently/ ordered/ drugs.
Library/ of/ Congress/ Cataloging-in-Publication/ Data
Names:/ Sullivan,/ Debra/ D.,/ author.
Title:/ Guide/ to/ clinical/ documentation/Debra/ D./ Sullivan.
Description:/Łird/edition./|/Philadelphia:/F.A./Davis/Company,/[2019]/|/Inclu
des/ bibliographical/ references/ and/ index.
Identifiers:/ LCCN/ 2018019472/ (print)/ |/ LCCN/ 2018019898/ (ebook)/ |/ ISBN/ 978080/
3669994/ |/ ISBN/ 9780803666627/ (pbk.)
Subjects:/ |/ MESH:/ Forms/ and/ Records/ Control--
/methods/ |/ Medical/ Records--standards
Classification:/ LCC/ R697.P45/ (ebook)/ |/ LCC/ R697.P45/ (print)/ |/ NLM/ W/ 80/ |/
DDC/ 651.5/04261--dc23
LC/ record/ available/ at/ https://lccn.loc.gov/2018019472
Authorization/ to/ photocopy/ items/ for/ internal/ or/ personal/ use,/ or/ the/ internal/ or/ personal/ use/ of/ specific/ clients,/ is/ granted/ by/ F
./ A./ Davis/ Company/ for/ users/ registered/ with/ the/ Copyright/ Clearance/ Center/ (CCC)/ Transactional/ Reporting/ Service,/ provided/ t/
hat/ the/ fee/ of/ $.25/ per/ copy/ is/ paid/ directly/ to/ CCC,/ 222/ Rosewood/ Drive,/ Danvers,/ MA/ 01923./ For/ those/ organizations/ that/ h/
ave/ been/ granted/ a/ photocopy/ license/ by/ CCC,/ a/ separate/ system/ of/ payment/ has/ been/ arranged./ Łe/ fee/ code/ for/ users/ of/ the/T
ransactional/ Reporting/ Service/ is:
978-0-8036-6662-7/18/ 0/ +/ $.25.
, Dedication
When/I/think/back/to/2004,/when/the/first/edition/of/this/b/oo
k/was/published,/I/think/of/a/wonderful/group/of/friends/who/
were/there/to/celebrate/ with/me./As/I/anticipate/the/pu/blicati
on/of/the/third/edition,/almost/all/of/those/same/ wond/erful/frie
nds/are/still/here,/encouraging/and/supporting/me,/an/d/cheerin
g/me/on/to/the/finish/line./Sadly,/my/dear/friend/C/andy/left/us
/much/too/soon,/and/I/miss/her/ sweet/presence/more/than/wo
rds/can/say./7e/essence/of/her/heart/and/soul/is/with/me/alwa
ys./For/the/remaining/STUB-
C/friends/(Kent,/Donna,/Paige,/Jeff,/ John,/Brianna,/ Justin
,/Tim,/Carla,/and/Jeff/),/thanks/for/your/friendship,/your/l/o
ve,/and/your/constancy/in/my/life/through/the/past/two/de/ca
des./I/couldn’t/ask/for/a/better/group/of/people/to/share/life/wit
h!/I/hope/there/are/many/more/decades/to/come!
Not/only/have/I/been/blessed/with/these/incredible/friends,/b/u
t/I/am/fortunate/to/have/the/most/loving,/caring,/and/supp/ort
ive/husband/any/woman/could/hope/for./Greg/is/an/un/waver
ing/source/of/encouragement/and/inspires/and/challen/ges/me/
to/ be/the/best/I/can/be./He/has/stood/beside/me/with/out/comp
laint/through/the/days/of/writer’s/block,/looming/d/eadlines,/
malfunctioning/computers,/and/the/often-self-
/imposed/frenzy/of/my/world./He/has/the/insight/to/know/wh/e
n/to/cheer/me/on,/when/to/make/me/take/a/break,/and/wh/en/t
o/give/me/space./I/am/so/grateful/for/his/calming/influ/ence,/
his/ability/to/make/me/laugh/and/not/take/myself/too/seriousl
y,/and/all/he/does
to/keep/ things/running/ smoothly/ in/ the/Sullivan/ household.
7anks,/Greg,/for/all/this,/and/so/much/more./And/I/promis
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company./ All/ rights/ res iii
/ / / / / / / / /
n by Debra D Sullivan
/ / / /
GUIDE TO
ClinicalDocumenta
/
tion
THIRD / EDITION
Debra/D./Sullivan,/PhD,/RN,/PA-C
Lead/ Advanced/ Practice/ Provider
Academic/Urology/and/Urogynecology/of/Arizona/Lit
chfield/Park,/AZ
Owner,/Sullivan/ Consulting/Services/M/
edicolegal/Consulting
Glendale,/ AZ
,F./A./Davis/Company/
1915/ Arch/ Street
Philadelphia,/ PA/ 1910
3/ www.fadavis.com
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company./ All/ rights/ reserved./ Łis/ product/ is/ protected/ by/ copyright./ No/ part/ of/ it/ may/ b/
e/ reproduced,/ stored/ in/ a/ retrieval/ system,/ or/ transmitted/ in/ any/ form/ or/ by/ any/ means,/ electronic,/ mechanical,/ photocopying
,/ recording,/ or/ otherwise,/ without/ written/ permission/ from/ the/ publisher./Pri
nted/ in/ the/ United/ States/ of/ America
Last/ digit/ indicates/ print/ number:/ 10/ 9/ 8/ 7/ 6/ 5/ 4/ 3/ 2/ 1
Senior/Acquisitions/Editor:/Melissa/A./Duffield/Dir/ect
or/of/Content/Development:/George/W./Lang/Deve/lop
mental/ Editor:/ Stephanie/ Kelly
Art/ and/ Design/ Manager:/ Carolyn/ O’Brien
Content/ Project/ Manager:/ Megan/ Suermann
As/ new/ scientific/ information/ becomes/ available/ through/ basic/ and/ clinical/ research,/ recommended/ treatments/ and/ drug/ therapies/
undergo/ changes./ Łe/ author(s)/ and/ publisher/ have/ done/ everything/ possible/ to/ make/ this/ book/ accurate,/ up/ to/ date,/ and/ in/ acc/o
rd/ with/ accepted/ standards/ at/ the/ time/ of/ publication./ Łe/ author(s),/ editors,/ and/ publisher/ are/ not/ responsible/ for/ errors/ or/ omi/ss
ions/ or/ for/ consequences/ from/ application/ of/ the/ book,/ and/ make/ no/ warranty,/ expressed/ or/ implied,/ in/ regard/ to/ the/ contents/of
/ the/ book./ Any/ practice/ described/ in/ this/ book/ should/ be/ applied/ by/ the/ reader/ in/ accordance/ with/ professional/ standards/ of/care
/ used/ in/ regard/ to/ the/ unique/ circumstances/ that/ may/ apply/ in/ each/ situation./ Łe/ reader/ is/ advised/ always/ to/ check/ product/infor
mation/ (package/ inserts)/ for/ changes/ and/ new/ information/ regarding/ dose/ and/ contraindications/ before/ administering/ any/ dr/ug./ C
aution/ is/ especially/ urged/ when/ using/ new/ or/ infrequently/ ordered/ drugs.
Library/ of/ Congress/ Cataloging-in-Publication/ Data
Names:/ Sullivan,/ Debra/ D.,/ author.
Title:/ Guide/ to/ clinical/ documentation/Debra/ D./ Sullivan.
Description:/Łird/edition./|/Philadelphia:/F.A./Davis/Company,/[2019]/|/Inclu
des/ bibliographical/ references/ and/ index.
Identifiers:/ LCCN/ 2018019472/ (print)/ |/ LCCN/ 2018019898/ (ebook)/ |/ ISBN/ 978080/
3669994/ |/ ISBN/ 9780803666627/ (pbk.)
Subjects:/ |/ MESH:/ Forms/ and/ Records/ Control--
/methods/ |/ Medical/ Records--standards
Classification:/ LCC/ R697.P45/ (ebook)/ |/ LCC/ R697.P45/ (print)/ |/ NLM/ W/ 80/ |/
DDC/ 651.5/04261--dc23
LC/ record/ available/ at/ https://lccn.loc.gov/2018019472
Authorization/ to/ photocopy/ items/ for/ internal/ or/ personal/ use,/ or/ the/ internal/ or/ personal/ use/ of/ specific/ clients,/ is/ granted/ by/ F
./ A./ Davis/ Company/ for/ users/ registered/ with/ the/ Copyright/ Clearance/ Center/ (CCC)/ Transactional/ Reporting/ Service,/ provided/ t/
hat/ the/ fee/ of/ $.25/ per/ copy/ is/ paid/ directly/ to/ CCC,/ 222/ Rosewood/ Drive,/ Danvers,/ MA/ 01923./ For/ those/ organizations/ that/ h/
ave/ been/ granted/ a/ photocopy/ license/ by/ CCC,/ a/ separate/ system/ of/ payment/ has/ been/ arranged./ Łe/ fee/ code/ for/ users/ of/ the/T
ransactional/ Reporting/ Service/ is:
978-0-8036-6662-7/18/ 0/ +/ $.25.
, Dedication
When/I/think/back/to/2004,/when/the/first/edition/of/this/b/oo
k/was/published,/I/think/of/a/wonderful/group/of/friends/who/
were/there/to/celebrate/ with/me./As/I/anticipate/the/pu/blicati
on/of/the/third/edition,/almost/all/of/those/same/ wond/erful/frie
nds/are/still/here,/encouraging/and/supporting/me,/an/d/cheerin
g/me/on/to/the/finish/line./Sadly,/my/dear/friend/C/andy/left/us
/much/too/soon,/and/I/miss/her/ sweet/presence/more/than/wo
rds/can/say./7e/essence/of/her/heart/and/soul/is/with/me/alwa
ys./For/the/remaining/STUB-
C/friends/(Kent,/Donna,/Paige,/Jeff,/ John,/Brianna,/ Justin
,/Tim,/Carla,/and/Jeff/),/thanks/for/your/friendship,/your/l/o
ve,/and/your/constancy/in/my/life/through/the/past/two/de/ca
des./I/couldn’t/ask/for/a/better/group/of/people/to/share/life/wit
h!/I/hope/there/are/many/more/decades/to/come!
Not/only/have/I/been/blessed/with/these/incredible/friends,/b/u
t/I/am/fortunate/to/have/the/most/loving,/caring,/and/supp/ort
ive/husband/any/woman/could/hope/for./Greg/is/an/un/waver
ing/source/of/encouragement/and/inspires/and/challen/ges/me/
to/ be/the/best/I/can/be./He/has/stood/beside/me/with/out/comp
laint/through/the/days/of/writer’s/block,/looming/d/eadlines,/
malfunctioning/computers,/and/the/often-self-
/imposed/frenzy/of/my/world./He/has/the/insight/to/know/wh/e
n/to/cheer/me/on,/when/to/make/me/take/a/break,/and/wh/en/t
o/give/me/space./I/am/so/grateful/for/his/calming/influ/ence,/
his/ability/to/make/me/laugh/and/not/take/myself/too/seriousl
y,/and/all/he/does
to/keep/ things/running/ smoothly/ in/ the/Sullivan/ household.
7anks,/Greg,/for/all/this,/and/so/much/more./And/I/promis
Copyright/ ©/ 2019/ by/ F./ A./ Davis/ Company./ All/ rights/ res iii
