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Review of Systems Template: A Guide for Medical Professionals

What is a Review of Systems Template?

A review of systems template is a form that is used by medical professionals to document a patient’s past and present medical history. By recording the patient’s symptoms, health problems, and other relevant information, the doctor can create a comprehensive medical history that will be useful in diagnosing and treating any medical concerns. The template includes sections that allow the doctor to document specific information such as the patient’s chief complaint, past medical history, current medications and allergies, and any family history of diseases.

What Are the Benefits of Using a Review of Systems Template?

Using a review of systems template is beneficial for both the doctor and the patient. It enables the doctor to quickly and effectively document the patient’s medical history and any relevant information. This saves time and eliminates the need to ask the patient the same questions over and over again, which can be frustrating for the patient. Additionally, it allows the doctor to quickly review the patient’s medical history and ensure that any medical conditions or symptoms are properly treated.

What Should be Included in a Review of Systems Template?

A review of systems template should include sections for the patient’s chief complaint, past medical history, current medications and allergies, family history of diseases, and a physical exam. The patient’s chief complaint should include any symptoms they are currently experiencing, such as pain, fatigue, or fever. The past medical history should include any prior diagnoses, surgeries, or treatments. The current medications and allergies should include any medications the patient is taking, as well as any known allergies. The family history of diseases should include any diseases that are common among family members. Finally, the physical exam should include any observations made during the examination, such as the patient’s vitals or any abnormalities.

3 Sample Review of Systems Templates

Sample Template 1

Chief Complaint: Patient is experiencing fatigue and fever.
Past Medical History: Patient has had a history of asthma and hypertension.
Current Medications and Allergies: Patient is currently taking albuterol and has a known allergy to penicillin.
Family History of Diseases: Patient’s mother has diabetes.
Physical Exam: Patient has a fever of 102°F and a heart rate of 100 bpm.

Sample Template 2

Chief Complaint: Patient is experiencing headaches and dizziness.
Past Medical History: Patient has a history of depression and anxiety.
Current Medications and Allergies: Patient is currently taking sertraline and has a known allergy to dust mites.
Family History of Diseases: Patient’s father has high cholesterol.
Physical Exam: Patient has a blood pressure of 120/80 and a respiratory rate of 16 breaths per minute.

Sample Template 3

Chief Complaint: Patient is experiencing abdominal pain and nausea.
Past Medical History: Patient has had a history of kidney stones and gallstones.
Current Medications and Allergies: Patient is currently taking ibuprofen and has a known allergy to shellfish.
Family History of Diseases: Patient’s grandmother had Parkinson’s disease.
Physical Exam: Patient has a temperature of 98.6°F and a pulse of 70 bpm.

Conclusion

A review of systems template is a useful tool for medical professionals to document a patient’s medical history. It enables the doctor to quickly and effectively document the patient’s medical history, and it saves time by eliminating the need to ask the patient the same questions over and over again. Additionally, it allows the doctor to quickly review the patient’s medical history and ensure that any medical conditions or symptoms are properly treated.