ROS (Review of Systems)
ROS (Review of Systems) is a structured symptom checklist by body system—for example constitutional, heart, lungs, and neurological. The sidebar may say Review of Systems or ROS. Each entry can link to an appointment or stay chart-only. It is also used from some rooming/visit flows. ROS does not replace the official Clinical Note.
What ROS Is For
Capture positives and negatives across body systems during a visit so providers have a consistent review. You can mark no symptoms overall, mark None inside one category, check specific symptoms, or describe other symptoms in free text. This is not Vitals (numbers like BP), not Problem List (ongoing diagnoses), and not the full narrative note.
Where and When to Use It
Open chart → ROS (or Review of Systems) during intake/rooming or while documenting a visit. Many practices also complete ROS from the Roomed visit workflow with today’s appointment already selected. Always finish the legal encounter documentation in Clinical Notes afterward.
How the List Works
The list shows past ROS entries with Appointment, Date, and Actions (edit). Expand a row to see symptoms by category. Linked visits show visit type and doctor; unlinked rows show No Appointment. There is typically no delete button on this list even if delete permission exists elsewhere—correct by editing. Multiple visits usually mean multiple ROS entries.
Categories and Symptom Examples
Category cards commonly include: Constitutional (fever/chills, weight change, fatigue, night sweats); Eyes; Ear, Nose, Throat; Cardiovascular (chest pain, palpitations, swelling); Respiratory (cough, wheezing, shortness of breath); Gastrointestinal; Genitourinary; Musculoskeletal; Skin (Integumentary); Neurological; Psychiatric; Endocrine; Hematologic/Lymphatic; Allergic/Immunologic. Each category can have a None option that clears other checks in that category. Other lets the patient/staff describe symptoms not listed.
How to Add a ROS Entry
Click Add → optionally Link to appointment (or choose No appointment) → either check No symptoms to report (clears and disables category checks) or select symptoms by category → use category None when that system is negative → add Other text if needed → Submit. From Roomed flow, the appointment may be fixed for you.
How to Edit a ROS Entry
Open the edit action on a list row → change the appointment link if allowed → update symptom checks → Submit/Update. Editing is for correcting that visit’s review—not for changing Vitals or Problem List. You need Add or Edit Patient Review permission (and the Review System / ROS tab) for these actions.
Linking to an Appointment
Linking ties the ROS to a specific visit (date/time, visit type, doctor). Use No appointment when documenting chart-level review without a visit. Roomed workflows often lock the appointment so the ROS stays with that encounter.
Empty States and Permissions
Empty: No Review of Systems Entries. If categories fail to load: No Review of Systems categories found—contact support/admin. Tab missing: Patient Review System Tab permission, or patient not saved. View denied: View Patient Review permission missing.
Common Issues
Expecting ROS alone to finish the visit: still complete Clinical Notes. Entering BP/weight/temperature: use Vitals. Entering chronic diagnoses: use Problem List. Drug allergies for prescribing: use Allergy List (Allergic/Immunologic ROS symptoms are a review checklist, not the allergy safety list). Global “no symptoms” greys out categories—turn it off to check individual symptoms.