Yes, I sometimes includes negative responses as associated signs/symptoms. Sometimes they are ROS.
Depends on what the patient is being seen for. If the chief complaint was "hurt her ankle" then I wouldn't count "denies ab pain, diarrhea or coughing" as associated sign/symptom, but ROS. If the chief complain was "nausea" ... then the ab pain and diarrhea (even negative) could be considered associated signs/symptoms. The cough? ... probably ROS.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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