TY - BOOK AU - Sullivan,Debra D. AU - Sullivan,Debra D. TI - Guide to clinical documentation SN - 9780803625839 PY - 2012/// CY - Philadelphia PB - F.A. Davis Company KW - Forms and Records Control KW - methods KW - Medical Records KW - standards N1 - Rev. ed. of: Documentation for physician assistants / Debra D. Sullivan, Lynnette J. Mattingly. c2004; Includes bibliographical references and index; 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 ER -