Guide to clinical documentation /

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Bibliographic Details
Main Author: Sullivan, Debra D.
Format: Book
Language:English
Published: Philadelphia : F.A. Davis Co., 2012
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.