Review of systems
Also called Systems review, Systemic enquiry, ROS
A review of systems is a structured set of questions about each body system, asked to find symptoms the patient did not mention.
Why it matters in a workup
The review of systems catches problems outside the presenting complaint. Weight loss or night sweats found here can change the whole assessment.
Focus it on the systems the complaint touches, and record what you asked as well as what you found.
Put it into practice
- Ask about the systems relevant to the complaint
- Record positives and the relevant negatives
- Move a significant positive into the history
Frequently asked questions
Do I need a full review of systems every time?
Not always. A focused review of the relevant systems is usual in a targeted visit. A wide differential calls for a fuller one.
General guidance on clinical documentation, not advice about any individual patient and not legal advice.
Glossary
Look up related terms
- History of presenting complaintThe history of presenting complaint is the detailed story of the main problem: onset, character, timing, triggers, relieving factors and associated symptoms.
- Red flagsRed flags are history or examination features that raise the likelihood of a serious cause and call for prompt action or further assessment.