FULL REVIEW OF SYSTEMS [ROS]-Spring 2023

Review of Systems-ROS
[checkbox name="ros1" memo="Unable to assess"][conditional field="ros1" condition="(ros1).is('')"]Unable to assess due to [text]
[/conditional]
[checkbox name="ros2" memo="All systems reviewed and pertinent positives/negatives listed per HPI"][conditional field="ros2" condition="(ros2).is('')"]All systems reviewed and pertinent positives/negatives listed per HPI. [/conditional]
[checkbox name="ros_GEN" memo="General"][remark]content[/remark][conditional field="ros_GEN" condition="(ros_GEN).is('')"][checkbox memo="(+)" value="+Fatigue|+Pain|+Fever|+Chills|+Significant weight change"][text][checkbox memo="(-)" value="-Fatigue|-Pain|-Fevers|-Chills|-Significant weight change"][text]
[/conditional]
[checkbox name="ros_EENT" memo="EENT"][remark]content[/remark][conditional field="ros_EENT" condition="(ros_EENT).is('')"][checkbox memo="(+)" value="+Eyes|+Ears|+Nose|+Throat"][text][checkbox memo="(-)" value="-Eyes|-Ears|-Nose|-Throat"][text]
[/conditional]
[checkbox name="ros_CV" memo="Cardiovascular"][remark]content[/remark][conditional field="ros_CV" condition="(ros_CV).is('')"][checkbox memo="(+)" value="+Chest pain|+Dyspnea|+Palpitations|+Orthopnea|+Edema|+Cyanosis"][text][checkbox memo="(-)" value="-Chest pain|-Dyspnea|-Palpitations|-Orthopnea|-Edema|-Cyanosis"][text]
[/conditional]
[checkbox name="ros_Vasc" memo="Vascular"][remark]content[/remark][conditional field="ros_Vasc" condition="(ros_Vasc).is('')"][checkbox memo="(+)" value="+Arterial sx|+Vascular sx"][text][checkbox memo="(-)" value="-Arterial sx|-Vascular sx"][text]
[/conditional]
[checkbox name="ros_Resp" memo="Respiratory"][remark]content[/remark][conditional field="ros_Resp" condition="(ros_Resp).is('')"][checkbox memo="(+)" value="+Dyspnea|+Wheezing|+Cough|+Sputum|+Hemoptysis"][text][checkbox memo="(-)" value="-Dyspnea|-Wheezing|-Cough|-Sputum|-Hemoptysis"][text]
[/conditional]
[checkbox name="ros_GI" memo="Gastrointestinal"][remark]content[/remark][conditional field="ros_GI" condition="(ros_GI).is('')"][checkbox memo="(+)" value="+Change in bowel habits|+Change in appetite|+Reflux|+Blood per rectum|+Liver"][text][checkbox memo="(-)" value="-Change in bowel habits|-Change in appetite|-Reflux|-Blood per rectum|-Liver"][text]
[/conditional]
[checkbox name="ros_GU" memo="Genitourinary"][remark]content[/remark][conditional field="ros_GU" condition="(ros_GU).is('')"][checkbox memo="(+)" value="+Dysuria|+Polyuria|+Abdominal pain|+Hematuria|+Male|+Female"][text][checkbox memo="(-)" value="-Dysuria|-Polyuria|-Abdominal pain|-Hematuria|-Male|-Female"][text]
[/conditional]
[checkbox name="ros_Musc" memo="Musculoskeletal"][remark]content[/remark][conditional field="ros_Musc" condition="(ros_Musc).is('')"][checkbox memo="(+)" value="+Back pain|+Neck pain|+Arthralgias/Joint pain|+Myalgias/Muscle pain|+Joint swelling|+Bone(breaks/OA/RA/Osteopenia/porosis)"][text][checkbox memo="(-)" value="-Back pain|-Neck pain|-Arthralgias/Joint pain|-Myalgias/Muscle pain|-Joint swelling|-Bone(breaks/OA/RA/Osteopenia/porosis)"][text]
[/conditional]
[checkbox name="ros_Skin" memo="Integumentary"][remark]content[/remark][conditional field="ros_Skin" condition="(ros_Skin).is('')"][checkbox memo="(+)" value="+Rash|+Lesion/mole/nervi|+Puritis|+Hair changes|+Nail changes"][text][checkbox memo="(-)" value="-Rash|-Lesion/mole/nervi|-Puritis|-Hair changes|-Nail changes"][text]
[/conditional]
[checkbox name="ros_Neuro" memo="Neurological"][remark]content[/remark][conditional field="ros_Neuro" condition="(ros_Neuro).is('')"][checkbox memo="(+)" value="+Numbness/tingling|+Weakness|+Vertigo/dizziness|+Syncope|+Headache|+Gait/coordination impairment|+Seizure|+Memory impairment (Remote/Recent/Immediate)|+Dysphagia|+Dysarthria"][text][checkbox memo="(-)" value="-Numbness/tingling|-Weakness|-Vertigo/dizziness|-Syncope|-Headache|-Gait/coordination impairment|-Seizure|-Memory impairment (Remote/Recent/Immediate)|-Dysphagia|-Dysarthria"][text]
[/conditional]
[checkbox name="ros_Psych" memo="Psychiatric"][remark]content[/remark][conditional field="ros_Psych" condition="(ros_Psych).is('')"][checkbox memo="(+)" value="+Anxiety|+Depression|+Suicidal Ideation|+Attention|+Drug abuse"][text][checkbox memo="(-)" value="-Anxiety|-Depression|-Suicidal ideation|-Attention|-Drug abuse"][text]
[/conditional]
[checkbox name="ros_Endo" memo="Endocrine"][remark]content[/remark][conditional field="ros_Endo" condition="(ros_Endo).is('')"][checkbox memo="(+)" value="+Polyphagia|+Polydipsia|+Polyuria|+Heat/Cold intolerance|+Lethargy|+Weight"][text][checkbox memo="(-)" value="-Polyphagia|-Polydipsia|-Polyuria|-Heat/Cold intolerance|-Lethargy|-Weight"][text]
[/conditional]
[checkbox name="ros_Heme-Onc" memo="Hematology-Oncology"][remark]content[/remark][conditional field="ros_Heme-Onc" condition="(ros_Heme-Onc).is('')"][checkbox memo="(+)" value="+Bleeding|+Bruising|+Recurrent infections(viral/bacterial/fungal-herpes/candidiasis/etc)|+Lymph node swelling/pain|+Raynauds"][text][checkbox memo="(-)" value="-Bleeding|-Bruising|-Recurrent infections(viral/bacterial/fungal-herpes/candidiasis/etc)|-Lymph node swelling/pain|-Raynauds"][text]
[/conditional]
[checkbox name="ros_Allerg-Immuno" memo="Allergic-Immunologic"][remark]content[/remark][conditional field="ros_Allerg-Immuno" condition="(ros_Allerg-Immuno).is('')"][checkbox memo="(+)" value="+Allergic reactions|+Asthma|+Eczema|+Rash|+FH asthma/eczema"][text][checkbox memo="(-)" value="-Allergic reactions|-Asthma|-Eczema|-Rash|-FH asthma/eczema"][text]
[/conditional]
Review of Systems-ROS
Unable to assess
All systems reviewed and pertinent positives/negatives listed per HPI
General
EENT
Cardiovascular
Vascular
Respiratory
Gastrointestinal
Genitourinary
Musculoskeletal
Integumentary
Neurological
Psychiatric
Endocrine
Hematology-Oncology
Allergic-Immunologic

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.6, 103 form elements, 3 boilerplate words, 29 text boxes, 44 checkboxes, 14 remarks, 16 conditionals, 195 total clicks
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