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Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

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Rheumatology Review of Systems

  • venturafamilymed
  • Sep 8, 2021
  • 1 min read

Rheumatologic ROS is negative for:

Malar rash, photosensitivity, alopecia, mucosal ulcers, Raynaud's phenomenon, SQ nodules, sense of skin tightening in hands, face or torso, other rashes

No hx of red eyes, photophobia, iritis, uveitis, conjunctivitis, redness or discoloration of sclera, dry eyes or dry mouth

Hx pleurisy, sharp chest pains that increase with deep breath, lung fibrosis, pneumonia, cough phlegm, hemoptysis, DVT, PE

Chest pains, Hx pericarditis, heart murmur

Abdominal pain, nausea, vomiting, diarrhea, constipation, melena, hematochezia, Hx hepatitis, tranfusions or drug use, ulcerative colitis, Crohn's Disease

Hematuria, proteinuria, renal failure, bladder infections, kidney stones, hypertension

Headaches, trouble finding words

Focal weakness, trouble combing hair or getting out of chairs

Burning or tingling in feet

Monocular blindness, dysarthria, dysphagia, seizures or stroke

History of Low WBC, low platelets, anemia

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1 Comment

Rheumatology Social
Rheumatology Social
May 27

Thank you for sharing this helpful Rheumatologic Review of Systems reference. It offers a comprehensive yet concise format that aligns well with the detailed evaluations we perform in rheumatology. As a rheumatologist in Houston, I always emphasize that while autotexts like these can streamline documentation in Cerner EHR, every patient encounter deserves individualized assessment. Accuracy and integrity in our notes are essential for safe, ethical, and effective care.

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