HPI and ROS
In your own words, describe the significance of an HPI. - ANSThe HPI is the story of symptoms
and events that led to the patient's ED visit. It includes the CC and the associated sx.
How is the HPI different from the ROS? - ANSHPI focuses is story about the chief complaint and
its associated symptoms. ROS is a checklist of symptoms. It includes the chief complaint,
associated symptoms, and all other complaints the pt may have.
Name five "elements" of the HPI. - ANSOnset, timing, location, quality, severity, modifying
factors, associated symptoms, context.
Name eight of the body systems included in the ROS. - ANSConstitutional, eyes, ENT, CV,
Resp, GI, GU, MS, skin, neuro, psych, endocrine, heme/lymph, immunological
Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why
or why not? - ANSNo. Symptoms that are documented in the HPI also need to be documented
in the ROS.
What do you need to remember to document in the HPI and ROS for any patient that is
unconscious or incapable of providing information? - ANS"HPI/ROS limited by..."
Identify the error in this sentence from an example HPI: "Patient states the CP has been
intermittent since Thursday." - ANSWe do not document days of the week in the HPI. Instead,
we would count back the number of the days and document this numerically.
Why is it important to remember to document if the patient has had similar symptoms in the
past? - ANSBecause it is less likely that their current symptoms are life threatening if they have
survived similar symptoms in the past.
Name one detail that is important to document if the patient has been evaluated in the past for a
similar complaint. - ANSWhat symptoms prompted the prior evaluation? How long ago did the
prior evaluation occur? Who did they see? What treatment did they receive? Did it help? What
diagnosis was given? Any prior test results?
What should you focus on when writing an HPI? - ANSDocumenting the answers to every
question asked by the doctor.
What is the first item in the formula for writing an HPI? - ANSChief complaint and onset
What does MOI stand for in a Trauma HPI? - ANSMechanism of Injury
In your own words, describe the significance of an HPI. - ANSThe HPI is the story of symptoms
and events that led to the patient's ED visit. It includes the CC and the associated sx.
How is the HPI different from the ROS? - ANSHPI focuses is story about the chief complaint and
its associated symptoms. ROS is a checklist of symptoms. It includes the chief complaint,
associated symptoms, and all other complaints the pt may have.
Name five "elements" of the HPI. - ANSOnset, timing, location, quality, severity, modifying
factors, associated symptoms, context.
Name eight of the body systems included in the ROS. - ANSConstitutional, eyes, ENT, CV,
Resp, GI, GU, MS, skin, neuro, psych, endocrine, heme/lymph, immunological
Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why
or why not? - ANSNo. Symptoms that are documented in the HPI also need to be documented
in the ROS.
What do you need to remember to document in the HPI and ROS for any patient that is
unconscious or incapable of providing information? - ANS"HPI/ROS limited by..."
Identify the error in this sentence from an example HPI: "Patient states the CP has been
intermittent since Thursday." - ANSWe do not document days of the week in the HPI. Instead,
we would count back the number of the days and document this numerically.
Why is it important to remember to document if the patient has had similar symptoms in the
past? - ANSBecause it is less likely that their current symptoms are life threatening if they have
survived similar symptoms in the past.
Name one detail that is important to document if the patient has been evaluated in the past for a
similar complaint. - ANSWhat symptoms prompted the prior evaluation? How long ago did the
prior evaluation occur? Who did they see? What treatment did they receive? Did it help? What
diagnosis was given? Any prior test results?
What should you focus on when writing an HPI? - ANSDocumenting the answers to every
question asked by the doctor.
What is the first item in the formula for writing an HPI? - ANSChief complaint and onset
What does MOI stand for in a Trauma HPI? - ANSMechanism of Injury
