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"The Exam" (ROS) Review

Obviously "The Exam" is the main reason that patients seek out medical care.  "The Exam" is distinguished from the ROS because of the source.  The source in this case is the healthcare provider and the information is considered objective.

Key Points:

  1. "The Exam" includes testing data like labs, imaging, and diagnostic testing.
  2. "The Exam" is organized by Organ System or Body Areas.
  3. "The Exam" can consist of examining a patient by using one the following methods:

The documentation will consist of the method, location, and the findings from performing "The Exam".