Some of our ER Docs are using the statement "all relevant systems reviewed and all negative except for the above" as their documentation of the ROS.
We are unsure if the word "relevant" would pertain to the exam as a whole or to the chief complaint of the patient. Would that be considered a full ROS or would the Doctor need to document the "relevant" systems that they reviewed?
Thank you.
We are unsure if the word "relevant" would pertain to the exam as a whole or to the chief complaint of the patient. Would that be considered a full ROS or would the Doctor need to document the "relevant" systems that they reviewed?
Thank you.