ROS only

Review of Systems:
[checkbox name="ros1" memo="Unable to assess"][conditional field="ros1" condition="(ros1).is('')"]Unable to assess due to [text]
[/conditional]

[checkbox name="ros2" memo="See history"][conditional field="ros2" condition="(ros2).is('')"]All pertinent ROS findings are detailed in the narrative history above.[/conditional]
[checkbox name="ros_const" memo="Constitutional"][conditional field="ros_const" condition="(ros_const).is('')"][checkbox memo="(+)" value="chronic fatigue|chronic pain|fevers|chills|weight loss"][checkbox memo="(-)" value="no chronic fatigue|no chronic pain|no fevers|no chills|no significant weight loss"][text]
[/conditional]
[checkbox name="ros_eyes" memo="Eyes/vision"][conditional field="ros_eyes" condition="(ros_eyes).is('')"][checkbox memo="(+)" value="visual loss or impairment|visual disturbances|dry eyes|light sensitivity|eye pain"]
[checkbox memo="(-)" value="no visual loss or impairment|no visual disturbances|no dry eyes|no light sensitivity|no eye pain"][text][/conditional]
[checkbox name="ros_ent" memo="ENT"][conditional field="ros_ent" condition="(ros_ent).is('')"][checkbox memo="(+)" value="hearing loss or impairment|tinnitus|ear pain| sinus problems|problems swallowing|voice change"]
[checkbox memo="(-)" value="no hearing loss or impairment|no tinnitus|no ear pain|no sinus problems|no problems swallowing|no voice change"][text][/conditional]
[checkbox name="ros_cv" memo="CV"][conditional field="ros_cv" condition="(ros_cv).is('')"][checkbox memo="(+)" value="chest pain|lightheadedness|palpitations"]
[checkbox memo="(-)" value="no chest pain|no lightheadedness|no palpitations"][text]
[/conditional]
[checkbox name="ros_resp" memo="RESP"][conditional field="ros_resp" condition="(ros_resp).is('')"][checkbox memo="(+)" value="shortness of breath|cough|supplemental oxygen and/or CPAP use"]
[checkbox memo="(-)" value="no shortness of breath|no cough|no supplemental oxygen and/or CPAP use"][text]
[/conditional]
[checkbox name="ros_gi" memo="GI"][conditional field="ros_gi" condition="(ros_gi).is('')"] [checkbox memo="(+)" value="abdominal pain|heartburn|constipation|diarrhea|nausea|vomiting|loss of appetite|decreased nutritional and/or fluid intake"]
[checkbox memo="(-)" value="no abdominal pain|no heartburn|no constipation|no diarrhea|no nausea|no vomiting|no loss of appetite|no decreased nutritional and/or fluid intake"][text]
[/conditional]
[checkbox name="ros_gu" memo="GU"][conditional field="ros_gu" condition="(ros_gu).is('')"] [checkbox memo="(+)" value="pain with urination|increased frequency of urination|urinary retention|urinary incontinence|erectile dysfunction"]
[checkbox memo="(-)" value="no pain with urination|no change in urinary frequency|no urinary retention|no urinary incontinence|no erectile dysfunction"][text]
[/conditional]
[checkbox name="ros_msk" memo="MSK"][conditional field="ros_msk" condition="(ros_msk).is('')"] [checkbox memo="(+)" value="joint pains|hypermobile joints (+/- recurrent dislocations)|neck pain|mid back pain|low back pain"]
[checkbox memo="(-)" value="no joint pain|no joint hypermobility and/or recurrent dislocations)|no neck pain|no back pain"][text][/conditional]
[checkbox name="ros_heme" memo="HEME"][conditional field="ros_heme" condition="(ros_heme).is('')"][checkbox memo="(+)" value="easy bruising|excessive bleeding"]
[checkbox memo="(-)" value="no easy bruising|no excessive bleeding"][text]
[/conditional]
[checkbox name="ros_skin" memo="Skin"][conditional field="ros_skin" condition="(ros_skin).is('')"] [checkbox memo="(+)" value="rash|skin discoloration|itching|new or unusual lesions|excessive hair thinning or hair loss|abnormal loss of body hair "]
[checkbox memo="(-)" value="no rash|no skin discoloration|no itching|no new or unusual lesions|no excessive hair thinning or hair loss|no abnormal loss of body hair"][text]
[/conditional]
[checkbox name="ros_endo" memo="ENDO"][conditional field="ros_endo" condition="(ros_endo).is('')"][checkbox memo="(+)" value="increased and/or excessive thirst|heat intolerance|cold intolerance|abnormal menstrual periods"]
[checkbox memo="(-)" value="no increased and/or excessive thirst|no heat intolerance|no cold intolerance|no abnormal menstrual periods"][text]
[/conditional]
[checkbox name="ros_immune" memo="IMMUNE"][conditional field="ros_immune" condition="(ros_immune).is('')"][checkbox memo="(+)" value="recurrent and/or frequent infections|recurrent and/or frequent allergic reactions|"][checkbox memo="(-)" value="no recurrent and/or frequent infections|no recurrent and/or frequent allergic reactions|"][text]
[/conditional]
[checkbox name="ros_psych" memo="PSYCH"][conditional field="ros_psych" condition="(ros_psych).is('')"][checkbox memo="(+)" value="anxiety|panic attacks|grief|depression|lack of interest, enthusiasm, and/or concern|dissociation, depersonalization, or derealization| guilt|self-injurious behaviors|suicidal ideation|irritability, short-temperedness|delusions|paranoia|hallucinations|personality changes|disinhibited and/or socially inappropriate comments and/or behaviors|verbal aggression|physical aggression"]
[checkbox memo="(-)" value="no anxiety|no panic attacks|no grief|no depression|no loss of interest, enthusiasm, and/or concern|no dissociation, depersonalization, or derealization|no guilt|no self-injurious behaviors|no suicidal ideation|no irritability, short-temperedness|no delusions|no paranoia|no hallucinations|no personality changes|no disinhibited and/or socially inappropriate comments and/or behaviors|no verbal aggression|no physical aggression"][text]
[/conditional]
[checkbox name="ros_neuro" memo="NEURO"][conditional field="ros_neuro" condition="(ros_neuro).is('')"][checkbox memo="(+)" value="headaches|slurred speech|word-findging difficulties|impairment of facial recognition|memory problems|attention/concentration deficit|coordination problems|balance problems|gait changes and/or difficulty walking|falls|generalized weakness|extremity numbness/tingling|neuropathic pain|tremors|muscle cramps/spasms|seizures "][checkbox memo="(-)" value="no headaches|no slurred speech|no word-findging difficulties|impairment of facial recognition|no memory problems|no attention/concentration deficit|no coordination problems|no balance problems|no gait changes|no difficulty walking|no falls|no generalized weakness|no extremity numbness/tingling|no neuropathic pain|no tremors|no muscle cramps/spasms|no seizures "][text][/conditional]
[checkbox name="ros_cog" memo="COGNITIVE"][conditional field="ros_cog" condition="(ros_cog).is('')"][textarea][/conditional]
[checkbox name="ros_sleep" memo="SLEEP"][conditional field="ros_sleep" condition="(ros_sleep).is('')"]SLEEP: [checkbox memo="(+)" value="difficulty falling asleep|frequent awakenings|waking up too early|nightmares|snoring|breathing problems (apneic pauses, dyspneic arousals)|pain-related insomnia|acting out dreams|restless leg sensations|excessive body/limb movements during sleep|waking up unrested in the mornings|waking up with a headache in the mornings|excessive daytime sleepiness|increased and/or excessive sleep|hypnogogic hallucinations|hypnopompic hallucinations|sleep paralysis"]
[checkbox memo="(-)" value="no difficulty falling asleep|no frequent awakenings|not waking up too early|no nightmares|no snoring|no breathing problems (e.g. apneic pauses, dyspneic arousals)|no pain-related insomnia|not acting out dreams|no restless leg sensations|no excessive body/limb movements during sleep|waking up adequately or well rested in the mornings|no morning headaches| no excessive daytime sleepiness|not sleeping excessively|no hypnogogic hallucinations|no hypnopompic hallucinations|no sleep paralysis"][text]
[/conditional]
[checkbox name="pmh" memo="PMH"][conditional field="pmh" condition="(pmh).is('')"]Past Medical History
[checkbox value="ADHD|Adjustment disorder|Alzheimer's|anemia|Asperger's|Autism|arthritis|arrhythmia|AF|asthma|B12 deficiency|Bell's palsy|BD (bipolar disorder)|BPD (borderline personality disorder)|BPPV| CAD|carotid stenosis|carpal tunnel syndrome|cerebral palsy|cervical radiculopathy|cirrhosis|CKD|Crohn's| CVA|COPD|developmental delay|dementia|DM1|DM2|DVT/PE|Ehlers-Danlos syndrome|epilepsy|essential tremor|fibromyalgia|FTD|GAD GERD|gout|HF|HLD|HTN|HCV|HIV|hypothyroidism|hypercoagulability syndrome|IBS|ICH (intracranial hemorrhage)|IIH (increased intracranial pressure)|IPH (intraparenchymal hemorrhage)|iron deficiency|Lewy body dementia|lumbar radiculopathy|Lupus|MCI|MDD|migraines|mood disorder|MS (multiple sclerosis)|neurocognitive disorder|NPH (normal pressure hydrocephalus)|OA|OCD|optic neuritis|OSA|osteoporosis|panic disorder|personality disorder|PTSD|PCOS|PVD|Parkinson's disease|pseudotumor cerebri|RA|RLS|SAH|Sciatica|SDH|seizure disorder|spinal stenosis|SLE|TIA|TBI|schizoaffective disorder|eating disorder|PNES (psychogenic nonepileptic seizures)|psychosis|schizophrenia|sleep apnea|TIA/CVA|UC (ulcerative colitis)|vitamin B12 deficiency|vitamin D deficiency"][textarea][/conditional]