Review of Systems (ROS) Review

The Review of Systems (ROS) is distinguished from the exam because of the source.  The source is the patient and the information is going to be considered subjective. You can read more about it Review of Systems in the link below:

Review of Systems (Webpage)

Key Points:

  1. The ROS is a subjective account of the problem, progress, or complication solely based on the patient prospective.
  2. The ROS is intended to inventory clinical symptoms (or lack thereof) within problematic or related body systems which patients may not indicate on their own.
  3. The ROS is designed, along with the HPI and PFSH to illuminate the diagnosis.
  4. The ROS consists of a review of  one or more of these body systems:

Assessment:

The provider’s clinical judgement will base the decision as to which systems to review.  Typically the review will include the focused body system in which the chief complaint(s) resides; however the review may often contain one or two related body systems and sometimes more.  

Additionally, there are some offices that, by protocol, require that the MA and/or Physician to review ALL body systems either in the exam room or while in the waiting room.

Documentation becomes extremely important.