832SLIZZIE
New
Is it acceptable NOT to mark anything (no positives or negatives marked) EXCEPT for the box stating: all systems negative except as marked?
![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Is it acceptable NOT to mark anything (no positives or negatives marked) EXCEPT for the box stating: all systems negative except as marked?
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1995 Documentation Guidelines:
A complete ROS inquires about the system(s) directly related to the problem(s) identified in the HPI plus all additional (minimum of ten) organ systems. Those systems with positive or pertinent negative responses must be individually documented. For the remaining systems, a notation indicating all other systems are negative is permissible. In the absence of such a notation, at least ten systems must be individually documented.
All MAC carriers accept the "global statement" highlighted above after pertinent positive and negative responses directly related to the presenting problem are found in the documentation.