Documenting Review of Symptoms

Select the Review of Symptoms category to open the documentation fields. If this field was documented by a non-provider (technician) or will simply not be completed as part of this exam, select the check box for "To Review" or "Not Performed" as appropriate. All non-completed fields can also be marked "no" by using the "Mark all remaining as No" button (this option exists within each Review of Symptoms documentation sub-field)

Use this field to document ocular manifestations. When marking "Yes" for any option, additional fields will appear allowing the user to write specific notes and/or indicate the item as a complaint as appropriate. Each field also includes a general notes option for that field. When finished with Ocular documentation, click a different field name from the list on the left hand-side of the screen, or simply scroll down to proceed to the next listed field:

Use this field to document manifestations in the patient's vision:

Use this field to document "whole body" manifestations such as fever, fatigue, etc:

Use this field to document manifestations linked to "ear, nose and throat" conditions:

Use this field to document manifestations linked to brain and nerve condition/functions:

Use this field to document manifestations related to a brief inventory of mental health symptoms and indicators:

Use this field to document manifestations related to cardiovascular and systemic vascular conditions:

Use this field to document manifestations related to respiratory conditions:

Use this field to document manifestations related to gastrointestinal conditions:

Use this field to document manifestations related to conditions of the urinary and reproductive systems:

Use this field to document manifestations related to conditions of the musculoskeletal system (bones, muscles, joints, ligaments, tendons and cartilage):

Use this field to document manifestations related to conditions of the integumentary system (skin, hair, nails and glands):

Use this field to document manifestations related to conditions of the endocrine system (tissues, glands, and organs related to hormone production and distribution):

Use this field to document manifestations related to conditions of the hematologic (blood) and lymphatic (lymph) systems:

Use this field to document manifestations related to allergies and/or conditions of the immune system: