Would the following Review of Systems count as a complete ROS:
Review of Systems: Including General, Skin, HEENT, Endocrine, Respiratory, Cardiovascular, GI, GU, CNS, Musculoskeletal, Blood/Lymphatics, Mood/Affect, no other related symptoms are being reported. It is also worth noting that her daughter filled out the patient's questionnaire and answered yes on a lot of things; patient then stated no for a lot of those items. She states that her wieght went down approximately 20 pounds during/after surgery.
This is the first time I have had a ROS documented like this and not real sure about it.
Thanks for any feedback.
Review of Systems: Including General, Skin, HEENT, Endocrine, Respiratory, Cardiovascular, GI, GU, CNS, Musculoskeletal, Blood/Lymphatics, Mood/Affect, no other related symptoms are being reported. It is also worth noting that her daughter filled out the patient's questionnaire and answered yes on a lot of things; patient then stated no for a lot of those items. She states that her wieght went down approximately 20 pounds during/after surgery.
This is the first time I have had a ROS documented like this and not real sure about it.
Thanks for any feedback.