Review of Systems

To add information to the Patient's Review of System, follow the steps below and do not forget to complete the required fields (*).
Click on Review of Systems 


 

• • Complete the Physical Examination information. Fields with (*) are required fields and must be completed before saving the record for the first time. Fields marked with (-) are auto completed.

• • Adult/Peds: Select from values: Adult or Peds.
  • Age: This field will be auto completed
  • Constitutional: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Eyes: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Ears, Nose, Throat: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Genitourinary: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Cardiovascular: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Respiratory: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Gastrointestinal: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Integument: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Allergic/Immunologic: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Neurological: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Psychiatric: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult."
  • Endocrine: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Heme/Lymphatic: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Genitourinary Male Only: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult."
  • Genitourinary Female Only: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult."
  • Musculoskeletal: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult" or "Peds."
  • Breast: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" field is "Adult."
  • Dental: Select from values: Yes or No. This field will be displayed if the value of "Patient Age" is "Peds."
  • Allergic/Immunologic ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Hives, Hay fever or Recurrent infections.
  • Notes: Enter Review of system notes
  • Allergic/Immunologic ROS Peds: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Frequent infections, Frequent fevers, or Antibiotic use.
  • Notes: Enter Review of system notes
  • Breast ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Breast Lump, Nipple discharge, Nipple changes or Breast pain.
  • Notes: Enter Review of system notes
  • Cardiovascular ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Chest pain/pressure, Palpitations, Lightheadedness, Syncope, Orthopnea, Paroxysmal Nocturnal Dyspnea (PND), Peripheral Edema, Cyanosis or Cyanosis
  • Notes: Enter Review of system notes
  • Cardiovascular ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Murmurs, Chest pain, Blueness of lips or fingernails, Activity level or Tires easily.
  • Notes: Enter Review of system notes
  • Constitutional ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Fever, Chills, Sweats, Anorexia, Increased appetite, Fatigue, Weakness, Malaise, Weight loss, Weight gain or Sleep problems.
  • Notes: Enter Review of system notes
  • Constitutional ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Weakness, Fatigue, Fever or Milestones
  • Notes: Enter Review of system notes
  • Dental ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Eruption of teeth, Eruption of teeth or Carries preventative care
  • Notes: Enter Review of system notes
  • Ears, Nose, Throat ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Ear pain, Negative, Difficulty hearing, Tinnitus, Nasal congestion, Nasal congestion, Epistaxis, Sinus pressure, Dental problems, Hoarseness, Dysphagia, Odynophagia or Sore throat
  • Notes: Enter Review of system notes
  • Ears, Nose, Throat ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Ear infection, Drainage, Hearing problems, Hearing tests, Nose bleeds, Nasal discharge, Frequent colds, Sore throat or Streptococcal infections.
  • Notes: Enter Review of system notes
  • Endocrine ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Heat intolerance, Cold intolerance, Polydipsia, Polyuria or Polyphagia 
  • Notes: Enter Review of system notes
  • Endocrine ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Growth pattern, Excessive thirst, Unusual weight gain or weight loss or Unusual sensitivity to heat or cold
  • Notes: Enter Review of system notes
  • Eyes ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Blurred vision, Diplopia, Vision loss, Pain, Redness, Irritation, Discharge, Photophobia or Scotomata
  • Notes: Enter Review of system notes
  • Eyes ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Eye infections, Drainage, Redness, Eyes more together, Excessive tearing or Eye examinations.
  • Notes: Enter Review of system notes
  • Gastrointestinal ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Abdominal pain, Indigestion, Heartburn, Nausea, Vomiting, Hematemesis, Diarrhea, Constipation, Melena, Hematochezia or Jaundice
  • Notes: Enter Review of system notes
  • Gastrointestinal ROS Peds: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Vomiting, Diarrhea, Constipation, Pain, Jaundice or Bowel training
  • Notes: Enter Review of system notes
  • Genitourinary (all) ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Dysuria, Hematuria, Urgency, Frequency, Hesitancy, Urinary incontinence, Nocturia, Flank pain, Sexual problems, Decreased libido or Genital sores.
  • Notes: Enter Review of system notes
  • Genitourinary (all) ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Pain, Frequency, Burning, Blood, Good stream, Bladder training or Bed-wetting.
  • Notes: Enter Review of system notes
  • Genitourinary Female Only ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Vaginal discharge, Vaginal itching, Dysmenorrhea, Menorrhagia, Metrorrhagia, Amenorrhea, Premenstrual syndrome, Hot flashes, Dyspareunia or Pelvic pain
  • Notes: Enter Review of system notes
  • Genitourinary Male Only: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Urethral discharge, Scrotal pain, Erectile dysfunction, or Lumps/Hernias.
  • Notes: Enter Review of system notes
  • Heme/Lymphatic ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Abnormal bruising, Abnormal bleeding, or Abnormal bleeding.
  • Notes: Enter Review of system notes
  • Heme/Lymphatic ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Lumps in neck or Swollen glands.
  • Notes: Enter Review of system notes
  • Integument ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Rash, Sores, Itching, New mole, Change in mole, Nail abnormalities or Hair changes.
  • Notes: Enter Review of system notes
  • Integument ROS Peds: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Rashes, Rashes, Rashes, Changes in texture or color or Itching.
  • Notes: Enter Review of system notes
  • Musculoskeletal ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Myalgia, Myalgia, Joint pain, Joint swelling, Stiffness, Back pain, Neck pain, Sciatica or Restless legs
  • Notes: Enter Review of system notes
  • Musculoskeletal ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Pain in bones or joints, Redness, Swelling, Limitation of movement or Muscle cramping.
  • Notes: Enter Review of system notes
  • Neurological ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Headache, Paresthesias, Paralysis, Weakness, Speech difficulties, Syncope, Seizures, Loss of balance, Difficulty walking, Dizziness, Tremor, Memory loss or Confusion.
  • Notes: Enter Review of system notes
  • Neurological ROS Peds: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Headache, Dizziness, Weakness, Tingling, Numbness, Seizures or convulsions or Problems with coordination.
  • Notes: Enter Review of system notes
  • Psychiatric ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Depression, Anxiety, Suicidal thoughts, Hallucinations, Hallucinations, Phobia, Anhedonia or Intrusive thoughts
  • Notes: Enter Review of system notes
  • Respiratory ROS Adult: This field will be displayed if the value of "Adult" field is "Yes". Select from values: Negative, Cough, Dyspnea, Dyspnea with exertion, Excessive sputum, Excessive sputum, Discolored sputum, Hemoptysis, Wheezing, Wheezing or Snoring
  • Notes: Enter Review of system notes
  • Respiratory ROS Peds: This field will be displayed if the value of "Peds" field is "Yes". Select from values: Negative, Cough, Wheezing, Chest pain, Blueness of lips or fingernails, Activity level or Tires easily.
  • Notes: Enter Review of system notes
• Physical Examination: To insert Patient's Physical Examination, click on "+ New Physical Examination"

• • Complete the Patient's Physical Examination. Fields with (*) are required fields and must be completed before save the record. Fields marked with (-) are auto completed.
    • (*) Body Structure: Select Body Structure from the look up list (click on  or click on enter)
    • Description: Enter Body Structure Description
    • Clinical Findings: Insert clinical findings.