There are several options for documenting the review of patient systems.
Option #1
- Go to the Advanced Progress Note screen.
- Press the ROS button, located in the Side Bar section.
- Or, press the Search button located at the top of the screen and select the ROS option.
- The following screen will be displayed:
- The user has three options to save information in this tab:
- Selecting the options.
- Selecting the All Systems are negative option.
Selecting Options
- Select the options.
- If you want to edit an item, press the right mouse button.
- The following information will be displayed:
- Select the Add Item or Edit Item option.
- The following screen will be displayed:
- Add or modify items.
- The user will be able to select a code related to the selected option.
- You will be able to select a procedure, related to the selected option.
- In the case of deleting an option, select the Delete Item option.
- Once you have completed selecting the corresponding options, press the Save button.
- The saved information will be displayed in the Clinical Evaluation section.
Selecting the option All Systems are negative.
- Check the option called All Systems are negative.
- Then press the Save button.
- The selected information will be displayed in the Clinical Evaluation section.
Through templates created
- Press the Select Template button, located at the top of the screen.
- The following screen will be displayed:
- Select the Template you want to use in the clinical evaluation.
- Once selected, press the OK button.
- The following confirmation message will be displayed:
- Press the Yes button to confirm that you want to use the selected Template in the clinical evaluation.
- Press the No button to cancel the action.
- If the Template contains any Review of System information, it will be displayed in the Clinical Evaluation section.
Opción #2
- Go to the Advanced Progress Note screen.
- Click on the Review of Systems link, located in the Clinical Evaluation section. Or click on the Add button in the Clinical Evaluation section.
- The following screen will be displayed:
- The user has three options to save information in this tab:
- Selecting the options.
- Selecting the All Systems are negative option.
Selecting Options
- Select the options.
- If you want to edit an item, press the right mouse button.
- The following information will be displayed:
- Select the Add Item or Edit Item option.
- The following screen will be displayed:
- Add or modify items.
- The user will be able to select a code related to the selected option.
- You will be able to select a procedure, related to the selected option.
- In the case of deleting an option, select the Delete Item option.
- Once you have completed selecting the corresponding options, press the Save button.
- The saved information will be displayed in the Clinical Evaluation section.
Selecting the option All Systems are negative.
- Check the option called All Systems are negative.
- Then press the Save button.
- The selected information will be displayed in the Clinical Evaluation section.
Through templates created
- Press the Select Template button, located at the top of the screen.
- The following screen will be displayed:
- Select the Template you want to use in the clinical evaluation.
- Once selected, press the OK button.
- The following confirmation message will be displayed:
- Press the Yes button to confirm that you want to use the selected Template in the clinical evaluation.
- Press the No button to cancel the action.
- If the Template contains any Review of System information, it will be displayed in the Clinical Evaluation section.
Recommended Article:
- Learn More About: Advanced Progress Note / ROS